NCLEX RN COMPREHENSIVE EXAM WITH NGN, VERSION WITH A+ QUALITY

NCLEX RN COMPREHENSIVE EXAM WITH NGN, VERSION WITH A+ QUALITY 
1. 1. Question    
1 point(s)
Category: Physiological Integrity
A client with bacterial pneumonia is admitted to the pediatric
unit. What would the nurse expect the admitting assessment to
reveal?
o A. High fever
o B. Nonproductive cough
o C. Rhinitis
o D. Vomiting and diarrhea
Incorrect
Correct Answer: A. High fever
If the child has bacterial pneumonia, a high fever is usually
present. Increased temperature (usually more than 38 C or
100.4 F) or fever with tachycardia and/or chills and sweats is a
major clinical finding. Physical findings also vary from patient to
patient and mainly depend on the severity of lung consolidation,
the type of organism, the extent of the infection, host factors,
and existence or nonexistence of pleural effusion. • Option B: Bacterial pneumonia usually presents with
a productive cough, not a nonproductive cough. The
presence of a productive cough is the most common
and significant presenting symptom. The lower
respiratory tract is not sterile, and it always is
exposed to environmental pathogens. Invasion and
propagation of the above-mentioned bacteria into lung
parenchyma at alveolar level causes bacterial
pneumonia, and the body’s inflammatory response
against it causes the clinical syndrome of pneumonia. • Option C: Rhinitis is often seen with viral pneumonia.
Features in the history of bacterial pneumonia may
vary from indolent to fulminant. Clinical manifestation
includes both constitutional findings and findings due
to damage to the lung and related tissue. • Option D: Vomiting and diarrhea are usually not seen
with pneumonia. Atypical pneumonia presents with
pulmonary and extrapulmonary manifestations, such
as Legionella pneumonia, often presents with altered
mentation and gastrointestinal symptoms. 

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