Which assessment finding is most important in determining nursing ...

[james0929]

Which assessment finding is most important in determining nursing care for a client with pneumonia?
 
  A) A slight cough and fatigue
  B) Confusion and restlessness
  C) Mild pleuritic chest pain
  D) Fever

Question 2

A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal conduit. An important aspect in nursing interventions of the patient with an ileal conduit is
 
  a. instructing the patient to void when the urge is felt.
  b. maintenance of skin integrity.
  c. prevention of tissue rejection.
  d. limiting acid-ash foods.

[bimper21]

Answer to Question 1

B
Feedback:
Confusion, restlessness, and behavioral changes may occur as a result of cerebral hypoxia showing the need to address oxygenation levels. The signs and symptoms of pneumonia may be altered in older persons. Pleuritic pain may not be severe; there may be or may not be a fever. Symptoms may include a slight cough, fatigue, and rapid respiration.

Answer to Question 2

B
Care of the patient with an ileal conduit is a nursing challenge because of the continual drainage of urine through the stoma. Complication of this procedure is wound infection, dehiscence, and urinary leakage.

[james0929]

TYSM

[bimper21]

Excellent