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 B

Explanation

A. Determining the need for urinary catheterization is within the scope of a registered nurse (RN), as it involves assessment and clinical judgment. A practical nurse (PN) does not independently determine the need for catheterization.
B. Titrating oxygen within prescribed parameters is an appropriate task for a PN, as it involves following provider orders and monitoring the client's response while working under RN supervision.
C. Receiving a postoperative client and conducting the initial assessment requires comprehensive assessment skills, which fall within the RN's scope of practice rather than the PN's.
D. Evaluating and updating plans of care require critical thinking and clinical decision-making, which are responsibilities of the RN. The PN can contribute to care but does not independently evaluate or modify care plans.

A. Explain to the client that the dosage has been changed. B. Tell him to take the medication then verify the dosage at the next healthcare team meeting. C. Inform him that he may refuse the medication and document whether or not he takes it. D. Withhold the medication until the dosage can be confirmed.

Correct Answer is D

Explanation

A. Explaining that the dosage has been changed is not appropriate without confirming the accuracy of the prescription.
B. Telling him to take the medication and verifying the dosage later could result in harm if the dosage is incorrect.
C. Informing him that he may refuse the medication is an option, but it does not address the potential error in dosage.
D. Withholding the medication until the dosage can be confirmed is the safest action to prevent potential medication errors

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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

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