Which of the following would be an appropriate expected outcome for an elderly client recovering from bacterial pneumonia?
A. A respiratory rate of 25 to 30 breaths per minute.
B. The ability to perform ADLs without dyspnea.
C. A maximum loss of 5 to 10 pounds of body weight.
D. Chest pain that is minimized by splinting the ribcage.
Correct Answer: B. The ability to perform ADL’s without dyspnea
An expected outcome for a client recovering from pneumonia would be the ability to perform ADLs without experiencing dyspnea. Determine patient’s response to activity. Note reports of dyspnea, increased weakness and fatigue, changes in vital signs during and after activities. Establishes patient’s capabilities and needs and facilitates choice of interventions.
Option A: A respiratory rate of 25 to 30 breaths/minute indicates the client is experiencing tachypnea, which would not be expected on recovery. Assess and record respiratory rate and depth at least every 4 hours. The average rate of respiration for adults is 10 to 20 breaths per minute. It is important to take action when there is an alteration in the pattern of breathing to detect early signs of respiratory compromise.
Option C: A weight loss of 5-10 pounds is undesirable; the expected outcome would be to maintain normal weight. Evaluate general nutritional state, obtain baseline weight. Presence of chronic conditions (COPD or alcoholism) or financial limitations can contribute to malnutrition, lowered resistance to infection, and/or delayed response to therapy.
Option D: A client who is recovering from pneumonia should experience decreased or no chest pain. Assess pain characteristics: sharp, constant, stabbing. Investigate changes in character, location, or intensity of pain. Assess reports of pain with breathing or coughing.
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