Which of these interventions would take priority and should be included in a plan of care for a patient who presents with pneumonia?

A) Observe the patient for decreased activity tolerance.
B) Assume that the patient is in pain and treat accordingly.
C) Maintain the ambient temperature at 18.3°C (65°F) .
D) Provide the patient ice chips as requested.

Question

Armando Martinez · Accepted Answer

Final Answer : A, Explanation :  Systemic infection causes more generalized symptoms than does local infection.This type of infection can result in fever,fatigue,nausea and vomiting,and malaise.The nurse should be alert for changes in the patient's level of activity and responsiveness.Respiratory infection may result in a productive cough with purulent sputum,shortness of breath,and activity intolerance.Nurses do not assume but assess and communicate with the patient about pain,temperature,and ice chips.Asking these questions would not be a priority as much as assessing the patient and determining the effect that the systemic infection is having on the patient.

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