A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease (COPD and peripheral vascular disease (PVD is being discharged from a skilled nursing facility. Which action is most important for the nurse to implement?

Reinforce the need for adequate hydration.

Provide typed instructions for healthy diet selections.

Explain a daily regimen.

Demonstrate specific strengthening exercises.

Answer and Explanation

The Correct Answer is A

A. Reinforce the need for adequate hydration: Adequate hydration is essential for liquefying secretions in the lungs, especially in clients with COPD who may have increased mucus production. Proper hydration also supports cardiovascular function, particularly in clients with peripheral vascular disease.

B. Provide typed instructions for healthy diet selections: While diet is important for overall health, hydration is the priority in this scenario due to the client's respiratory and vascular conditions.

C. Explain a daily regimen: While educating the client about a daily regimen is important, ensuring adequate hydration takes precedence in this situation.

D. Demonstrate specific strengthening exercises: While exercise is beneficial for clients with COPD and PVD, ensuring proper hydration is more critical for respiratory and cardiovascular function in this scenario.

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Correct Answer is ["0.8"]

Explanation

Step 1: Convert the client’s weight from pounds to kg. 1 kg is approximately 2.2 lbs. So, 176 lbs÷ 2.2 = 80 kg (rounded to the nearest whole number).

Step 2: Calculate the total mg of enoxaparin sodium needed per day.

The prescription is for 1.5 mg/kg/day. So, 80 kg × 1.5 mg/kg/day = 120 mg/day.

Step 3: Calculate the mL of enoxaparin sodium needed. The medication is available in a 120 mg/0.8 mL prefilled syringe. So, 120 mg ÷ 120 mg/0.8 mL = 0.8 mL.

The nurse should administer 0.8 mL

A. Strain all urine. B. Maintain contact isolation. C. Avoid urinary catheterization. D. Restrict oral fluid intake.

Correct Answer is C

Explanation

A. Straining all urine is not a standard intervention for prostatitis. This is typically done for conditions like urinary stones, where fragments may need to be collected. Prostatitis does not require this intervention.

B. Maintaining contact isolation is unnecessary for prostatitis unless the client has an active infection with a multidrug-resistant organism requiring isolation precautions. Prostatitis alone does not warrant contact isolation.

C. Avoiding urinary catheterization is an essential instruction for a client with prostatitis. Catheterization can exacerbate inflammation and increase the risk of further infection in the prostate gland. Alternative methods for managing urinary retention, such as suprapubic catheterization if necessary, should be considered.

D. Restricting oral fluid intake is not recommended. Adequate hydration is important for clients with prostatitis to help flush the urinary tract, reduce irritation, and promote healing. Restricting fluids could worsen symptoms and delay recovery.

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A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease (COPD and peripheral vascular disease (PVD is being discharged from a skilled nursing facility. Which action is most important for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 ml. prefiled syringe. How many ml. should the nurse administer? (Enter numerical value only)

Correct Answer is ["0.8"]

Explanation

The nurse is assigning care of a client with prostatitis to a practical nurse (PN). Which instruction should the nurse provide the PN regarding the care of this client?

Correct Answer is C

Explanation

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