Which clinical manifestation in an older client with pneumonia indicates that the disease is responding to the therapeutic regimen?
A. The client does not have a cough.
B. Urine output is 900 mL for the day.
C. Pulse oximetry shows an oxygen saturation of 90%.
D. Tactile fremitus is increased over the affected lung fields.
C
Older clients may not have a cough, even with severe pneumonia. Increased tactile fremitus in-dicates greater consolidation and is associated with pneumonia, not its resolution. During full-blown pneumonia, clients have severely decreased oxygen saturation. Although 90% is at the low end of normal, it is greater than expected for pneumonia.
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