Difficulty: Medium
Average Score: 62%
Full-length
Passage / Scenario
The nurse is caring for an 88-year-old client with pneumonia.Nurses' Notes Vital Signs Medical-Surgical Unit
0800: The client has dyspnea that worsens on exertion, a productive cough, and fever. Crackles are heard in the bilateral lower lung lobes.
1000: The client is restless, coughs frequently, and struggles to breathe.
The nurse should first Select... to Select... ...
Correct answer
A,E
Rationale
Elevating the head of the bed promotes lung expansion to improve breathing in pneumonia.