NCLEX RN COMPREHENSIVE EXAM WITH NGN,2023 VERSION WITH A+ QUALITY1.1.Question1point(s)Category:Physiological IntegrityA client with bacterial pneumonia is admitted to the pediatricunit. What would the nurse expect the admitting assessment toreveal?oA. High feveroB. Nonproductive coughoC. RhinitisoD. Vomiting and diarrheaIncorrectCorrect Answer: A. High feverIf the child has bacterial pneumonia, a high fever is usuallypresent. Increased temperature (usually more than 38 C or100.4 F) or fever with tachycardia and/or chills and sweats is amajor clinical finding. Physical findings also vary from patient topatient 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 witha productive cough, not a nonproductive cough. Thepresence of a productive cough is the most commonand significant presenting symptom. The lowerrespiratory tract is not sterile, and it always isexposed to environmental pathogens. Invasion andpropagation of the above-mentioned bacteria into lungparenchyma at alveolar level causes bacterialpneumonia, and the body’s inflammatory responseagainst it causes the clinical syndrome of pneumonia.•Option C:Rhinitis is often seen with viral pneumonia.Features in the history of bacterial pneumonia mayPreview Mode
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