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The nurse is caring for a patient with a nursing diagnosis of hyperthermia related to pneumonia. What assessment data does the nurse obtain that correlates with this nursing diagnosis (select all that apply.)?

A. A temperature of 101.4°F
B. Heart rate of 120 beats/min
C. Respiratory rate of 20 breaths/min
D. A productive cough with yellow sputum
E. Reports of unable to have a bowel movement for 2 days

1 Answer

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Final answer:

The assessment data correlating with hyperthermia related to pneumonia includes a temperature of 101.4°F, a heart rate of 120 beats/min, and a productive cough with yellow sputum. Respiratory rate within the normal range and bowel movement difficulties do not correlate with the diagnosis of hyperthermia due to pneumonia.

Step-by-step explanation:

The nurse is caring for a patient with a nursing diagnosis of hyperthermia related to pneumonia.

Assessment data that correlates with this nursing diagnosis include:

  • A. A temperature of 101.4°F
  • B. Heart rate of 120 beats/min
  • D. A productive cough with yellow sputum

Increased body temperature is a direct sign of hyperthermia. A rapid heart rate can be a response to fever and infection. The presence of a productive cough with colored sputum is consistent with pneumonia, which can cause hyperthermia.

Data C (Respiratory rate of 20 breaths/min) is not considered abnormal since it falls into the normal respiratory rate range (12-18 breaths per minute). Data E (Reports of unable to have a bowel movement for 2 days) is not directly related to hyperthermia or pneumonia.

User Daniel Hedberg
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