Respiratory Question #15

Question

The nurse is assessing a client with viral pneumonia. Which areas in the focused assessment may determine significant findings in a client with pneumonia? (Select all that apply)

Answers

1. Color of nailbeds.
   • Rationale:
2. Quality of breath sounds on auscultation.
   • Rationale:
3. Chest pain.
   • Rationale:
4. Peripheral edema.
   • Rationale:

Overview

Explanation

Color of nailbeds, assessing breathing and breath sounds through auscultation, and monitoring for chest pain (which may impair deep breathing) are important aspects of focused assessment for a client with pneumonia. Although assessing for peripheral edema is appropriate in an assessment, it is not the focus/priority assessment for the client with pneumonia (unless complications related to heart failure, kidney failure, or other co-morbidities or co-diagnoses exist (and this question only centered on pneumonia).

Learning Outcomes

Test Taking Tip

Video Rationale