Categories
NCLEX EXAM
HESI ENTRANCE EXAM
HESI EXAM
ATI EXAM
NR & NUR Exams
Gizmos
AQA PAPERS AND MARK SCHEME
Exams and Certifications
NURS EXAM
PORTAGE LEARNING
NSG Exam
Ihuman Case Study
DMV
WGU EXAM
Study material
Quiz
Category
Tutor
Search
Login
Login
HESI Med-Surg V1 Test Bank Questions And Answers
Helpsheet
×
Helpsheet
×
Report question problem
×
I think the answer is wrong
There are multiple correct answers
There is a typing error
Image or comprehension text is not display properly
Something else(please specify below)
Any more information
Question Number 6
6. The nurse is caring for a patient admitted to the hospital with pneumonia. Upon assessment, the nurse notes a temperature of 101.4° F, a productive cough with yellow sputum and a respiratory rate of 20. Which of the following nursing diagnosis is most appropriate based upon this assessment? A. Hyperthermia related to infectious illness B. Ineffective thermoregulation related to chilling C. Ineffective breathing pattern related to pneumonia D. Ineffective airway clearance related to thick secretions
A. Hyperthermia related to infectious illness Because the patient has spiked a temperature and has a diagnosis of pneumonia, the logical nursing diagnosis is hyperthermia related to infectious illness. There is no evidence of a chill, and her breathing pattern is within normal limits at 20 breaths per minute. There is no evidence of ineffective airway clearance from the information given because the patient is expectorating sputum.
✔ Correct Answer:
A. Hyperthermia related to infectious illness Because the patient has spiked a temperature and has a diagnosis of pneumonia, the logical nursing diagnosis is hyperthermia related to infectious illness. There is no evidence of a chill, and her breathing pattern is within normal limits at 20 breaths per minute. There is no evidence of ineffective airway clearance from the information given because the patient is expectorating sputum.
Count Down:
Related questions :
Modal title
×
...