A client has pneumonia. Which of the following evaluations does ...

[khang]

A client has pneumonia. Which of the following evaluations does the nurse make about the effectiveness of the client's cough?
 
  a. The client has a frequent, dry cough.
  b. The client has decreased adventitious sounds on auscultation.
  c. The client is breathing with deeper inhalation.
  d. The client's oxygen saturation is improved.

Question 2

A woman who was sexually assaulted a month ago presents to the emergency department with complaints of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion.
 
  The nurse recognizes the signs and symptoms of which medical problem? a. General adaptation syndrome
  b. Posttraumatic stress disorder
  c. Developmental crisis
  d. Alarm reaction

[kjo;oj]

Answer to Question 1

B
Decreased adventitious sounds indicate that the client has coughed up sputum. The effectiveness of coughing is evaluated by sputum expectoration and the client's report of swallowed sputum.
A dry cough is not productive and does not clear the airway.
Deeper inhalation is not indicative of an effective cough.
Oxygen saturation measures arterial oxygen levels, not cough effectiveness.

Answer to Question 2

B
Posttraumatic stress disorder is characterized by vivid recollections of the traumatic event and emotional numbing and often is accompanied by nightmares. General adaptation syndrome is the expected reaction to a major stressor. Developmental crisis occurs as a person moves through life stages rather than in response to a trauma. Alarm reaction involves physiological events such as increased activation of the sympathetic nervous system that would have occurred at the time of the sexual assault.