Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
47. When would a client with community-acquired pneumonia be clinically stable enough to change from IV antibiotics to oral antibiotics? When the client has a(n):
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
47. When would a client with community-acquired pneumonia be clinically stable enough to change from IV antibiotics to oral antibiotics? When the client has a(n):
. Temperature of 96.8°F (36°C) or lower.
. O2 saturation of at least 80%.
. Systolic blood pressure that stays at 90 mm Hg or higher.
. Heart rate that remains at 120 beats/min or lower.
Test-Taking Tip
Look for a clinical indicator within normal limits.
Content Area: Adult Health, Respiratory; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because a temperature this low is subnormal and would not be an accurate indication of antibiotic effectiveness. Answer 2 is incorrect because the O2 saturation should be 90% or higher. Answer 3 is correct because a systolic BP of 90 mm Hg or higher signals stability of the client. Answer 4 is incorrect because a heart rate of 120 is high. A rate of 100 or lower would indicate client stability.