Nokea
Which of the following is an indication of lower respiratory infection?
- A. Cough
- B. Fever
- C. Inability to lie supine
- D. Shortness of breath
Correct Answer: C
Rationale: Inability to lie supine is a significant indication of lower respiratory infection. This symptom often occurs due to breathing difficulties and discomfort experienced by individuals with lower respiratory infections, such as pneumonia or bronchitis. It can be caused by lung inflammation, consolidation, or fluid buildup in the lungs, making lying flat uncomfortable or difficult. Monitoring a patient's ability to lie flat can provide valuable information about the severity and progression of a lower respiratory infection.
You may also like to solve these questions
What is a priority discharge instruction for a parent of a child experiencing the first episode of asthma?
- A. Asthma can be prevented by avoiding environmental and emotional triggers
- B. Asthma decreases the size of the airway causing distress
- C. Bronchodilators can cause tachycardia and restlessness
- D. If an attack occurs at home, the child should sit or stand
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The word hormone is derived from the Greek 'hormao' meaning 'I excite or arouse'. Hormones communicate this effect by their unique chemical structures recognized by specific receptors on their target cells, by their patterns of secretion, and their concentrations in the general or local circulation. Which of the following is NOT a function of hormones?
- A. Producing new offspring
- B. Promoting growth and beauty
- C. Maintaining body temperature
- D. Fighting infections
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When evaluating a client's fluid intake and output record, how should fluid intake and urine output relate?
- A. Fluid intake should double the urine output
- B. Fluid intake should be approximately equal to the urine output
- C. Fluid intake should be half the urine output
- D. Fluid intake should be inversely proportional to the urine output
Correct Answer: B
Rationale: In assessing a client's fluid intake and output record, it is essential for fluid intake to be approximately equal to the urine output. This balance indicates proper hydration and renal function. Deviations from this balance could signify potential issues that need further investigation and management.
Fred, a 12-year-old boy, is diagnosed with pneumococcal pneumonia. Which of the following symptoms would Nurse Nica expect to assess?
- A. Mild cough
- B. Slight fever
- C. Chest pain
- D. Bulging fontanel
Correct Answer: C
Rationale: Chest pain is a common symptom associated with pneumococcal pneumonia. It can occur due to inflammation of the pleura or irritation of the lung tissue, leading to sharp or stabbing pain that worsens with breathing or coughing. While cough and fever are also common with pneumonia, chest pain is particularly significant in this case.
A child of 3 years has been admitted to your pediatric ward. The doctor gave a provisional diagnosis of respiratory tract infection. After careful assessment and history, he gave a final diagnosis of lower respiratory infection. Which of the following signs will confirm the diagnosis?
- A. Cough
- B. Fever
- C. Inability to lie supine
- D. Inability to eat
Correct Answer: C
Rationale: Inability to lie supine is a specific sign of lower respiratory infection. This condition can cause discomfort or difficulty in breathing when lying flat, leading to a preference for an upright or semi-upright position. While cough and fever are common symptoms of respiratory infections, the inability to lie supine is more indicative of lower respiratory involvement.