A nurse is assessing a client who has pneumococcal pneumonia. Which of the following findings should the nurse expect?
Explanation & Rationale
A. Neutropenia: Neutropenia is a decreased white blood cell count, often seen in clients with bone marrow suppression or certain infections, but it is not a typical finding in bacterial pneumonia. Pneumococcal pneumonia usually causes leukocytosis rather than neutropenia. B. Nuchal rigidity: Stiff neck is characteristic of meningitis, not pneumonia. While systemic infections can have various symptoms, nuchal rigidity is not expected in pneumococcal pneumonia. C. Tachypnea: Rapid breathing is a common manifestation of pneumonia due to impaired gas exchange, hypoxemia, and increased work of breathing. Tachypnea helps compensate for reduced oxygenation and is an expected clinical finding in pneumococcal pneumonia. D. Flail chest: Flail chest results from multiple rib fractures causing a segment of the chest wall to move paradoxically during respiration. This is a traumatic injury, not a complication of pneumococcal pneumonia.