The nurse is caring for a patient with suspected

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4. The nurse is caring for a patient with suspected bacterial pneumonia. Which finding supports the potential diagnosis? a. Elevated white blood cell (WBC) count b. Consolidation of lung tissue c. Interstitial inflammation d. Copious exudate ANS: C Viral pneumonia causes interstitial inflammation with attendant edema. White blood cell (WBC) count will not be elevated and no exudate is consolidating the lung as with bacterial pneumonia. MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
PTS: 1 DIF: Cognitive Level: Comprehension REF: 292 OBJ: 1 (theory) TOP: Pneumonia: Viral KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 5. The 79-year-old patient with bacterial pneumonia becomes increasingly restless, confused, and agitated. The patient’s temperature is 100° F, and his pulse, blood pressure, and respirations are elevated since the last assessment 6 hours ago. What action should the nurse take first?
PTS: 1 DIF: Cognitive Level: Analysis REF: 321 OBJ: 2 (theory) TOP: Hypoxia KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 6. The 75-year-old patient asks the nurse if the Pneumovax immunization he took when he was 65 is still protecting him. Which reply is most accurate?
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NURSINGTB.COM d. “After 6 years, you need a repeat dose of Pneumovax for full immunity.” ANS: D Pneumovax, an immunization that protects against 23 pneumococcal organisms, is repeated 6 years after the first dose. PTS: 1 DIF: Cognitive Level: Comprehension REF: 292 OBJ: 1 (theory) TOP: Pneumonia Immunization: Pneumovax KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance

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