A nurse in a provider's office is assessing an older adult client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?
Narrowed pulse pressure
Bradycardia
Night sweats
Confusion
The Correct Answer is D
A. Narrowed pulse pressure: A narrowed pulse pressure can indicate various cardiovascular issues but is not a specific sign of pneumonia.
B. Bradycardia: Bradycardia may occur due to various reasons, including medications or underlying health conditions, but it is not a common sign of pneumonia.
C. Night sweats: While night sweats can occur with pneumonia, they are more associated with infections such as tuberculosis or certain malignancies. It's not a classic presentation.
D. Confusion: Confusion is a common manifestation of pneumonia in older adults due to hypoxia, dehydration, or fever. Older adults often present atypically with changes in mental status during infections.
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Correct Answer is B
Explanation
A. Vomiting: While vomiting can occur during anaphylaxis, it is not the most immediately life-threatening symptom.
B. Stridor: Stridor indicates upper airway obstruction, which is a critical and life-threatening sign of anaphylaxis. This finding requires immediate intervention, such as administering epinephrine and ensuring airway patency.
C. Hypertension: Hypertension is not typically associated with anaphylaxis; instead, hypotension is more common due to vascular collapse.
D. Urticaria: Urticaria (hives) can occur in anaphylaxis, but it is not as urgent as stridor, which indicates a compromised airway.
Correct Answer is C
Explanation
A. Photophobia: Photophobia is not a common side effect of antihistamines. It can be associated with other conditions, but not typically with antihistamine use.
B. Diarrhea: Diarrhea is not a common side effect of antihistamines; they are more likely to cause constipation due to their anticholinergic effects.
C. Dry mouth: Dry mouth is a common anticholinergic effect of antihistamines. It occurs because these medications block acetylcholine, leading to decreased saliva production.
D. Increased blood pressure: Increased blood pressure is not a typical side effect of antihistamines. While some formulations may cause increased heart rate or palpitations, they do not generally lead to hypertension directly.