NCLEX-PN › Symptoms and Tests for Respiratory Conditions
A 63 year old female client is newly admitted to the hospital for pneumococcal pneumonia. The nurse recognizes that this patient will most likely exhibit certain symptoms associated with this condition.
Which clinical findings are most commonly consistent with pneumococcal pneumonia?
Sudden onset of fever, chills, with a productive cough with rust colored sputum.
Fever, chills, and a non-productive cough.
Dry cough with fatigue, nausea and vomiting.
Slow onset of cough, nasal congestion, sore throat, and fever.
Headache, muscle aches, and a cough with frothy pink sputum.
Pneumococcal (bacterial) pneumonia typically presents with an abrupt onset of fever, shaking chills, and a productive cough (usually rust in color). Usually viral pneumonias will present with a dry non productive cough and associated with other viral infections.
Which of the following best describes a diagnosis of uncomplicated or simple silicosis?
Mild ventilation restriction and fibrosis on chest x-ray
Silica in the bloodstream but no clinical symptoms
Normal pulmonary function but shortness of breath
Massive pulmonary fibrosis visible on chest x-ray, but no extrapulmonary symptoms
Simple silicosis results in mild ventilation restriction and fibrosis on chest x-ray. Simple silicosis often results from long-term exposure to relatively low concentrations of silica dust, where symptoms usually appear 10-30 years after exposure.