A nurse is caring for an 89-year-old client admitt...

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Pneumonia NCLEX Practice Questions Med Surg I Test

Question Number 1

A nurse is caring for an 89-year-old client admitted with pneumonia. He has an IV of normal saline running at 100 mL/hr and antibiotics that were initiated in the emergency department 3 hours ago. He has oxygen at 2 liters/nasal cannula. What assessment finding by the nurse indicates that goals for a priority diagnosis have been met for this client?

A) The client is alert and oriented to person, place, and time.

B) Blood pressure is within normal limits and client's baseline.

C) Skin behind the ears demonstrates no redness or irritation.

D) Urine output has been >30 mL/hr per Foley catheter

✔ Correct Answer:

A) The client is alert and oriented to person, place, and time.

Pneumonia NCLEX Practice Questions Med Surg I Test

Question Number 1

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