Exemplar 9.E Pneumonia (Latest Update )
Questions with Answers Grade A 100% Correct
1) An older adult client is admitted with pneumonia. Which
manifestations would the nurse expect to find when assessing
this client? Select all that apply.
A) Hemoptysis
B) Increased appetite
C) Cough
D) Tachypnea
E) Fever - ANSWER Answer: A, C, D, E
Explanation: Common symptoms of pneumonia include fever,
cough, tachypnea, and hemoptysis. Decreased appetite may
accompany symptoms of pneumonia, not increased appetite.
2) An older adult client asks the nurse what can be done to
decrease the risk of developing pneumonia. Which responses
by the nurse are most appropriate? Select all that apply.
A) "Once per day, you should eat yogurt that is supplemented
with L. casei immunitas cultures."
B) "Eliminating habits like smoking can help."
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C) "You can get the pneumonia vaccination, which may help
decrease your risk in the future."
D) "Avoiding alcohol will reduce your risk."
E) "There is nothing you can do to decrease your risk of
pneumonia in the future." - ANSWER Answer: B, C, D
Explanation: Both smoking and alcohol consumption increase
the risk of pneumonia. Smoking injures tissues in the airways
and decreases the action of the cilia. Alcohol interferes with the
actions of macrophages. Avoiding smoking and alcohol will
decrease the risk of pneumonia. Pneumonia vaccines can also
decrease the risk of developing the disease in the future. L.
casei immunitas cultures have not been proven to support
immune function. Telling the client that it is not possible to
decrease the risk of pneumonia is incorrect.
3) The nurse is caring for an older adult client who is
hospitalized with a second episode of pneumonia in the past 18
months. The client has expressed frustration to the nurse and
states, "I never got sick when I was younger. Why is this
happening?" Which response by the nurse is most appropriate?
A) "As you grow older, your immune system just quits working."