Saunders Respiratory Practice

During a physical assessment, which sign may indicate a worsening condition in a client with pneumonia?

1. Decreased energy levels

2. Increased appetite

3. Improved lung sounds

4. Stable vital signs

The correct answer is: Decreased energy levels

Decreased energy levels can be a significant indicator of a worsening condition in a client with pneumonia. When a patient is experiencing pneumonia, their body is working hard to fight off the infection, which can lead to fatigue and decreased overall energy. Increased fatigue may signal that the body's reserves are being depleted or that the infection is progressing, indicating more serious complications. On the other hand, an increased appetite typically suggests that a patient's recovery may be progressing positively, as many individuals lose their appetite when they are ill. Improved lung sounds would suggest that the patient's lung condition is getting better, rather than worse. Stable vital signs indicate that there are no alarming changes in the patient's physiological state, further suggesting that the condition isn't deteriorating. Therefore, the presence of decreased energy levels amidst these other signs is a clear warning sign that warrants attention and concern regarding the patient's pneumonia status.