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A nurse is assisting in the care of a client who has pneumonia.

Exhibits
The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

Ensure the oxygen delivery system is at least 8 feet from any heat source.

Store the oxygen cylinder wrench with the oxygen tank.

Adjust the oxygen flow rate as needed to ease breathing.

Take antibiotic medication with or without food.

Take steroid medication in the morning.

Decrease the steroid dose each day.

Take antibiotics for 10 days.

Answer and Explanation

Correct Answer : A,B,E,G

A. Ensure the oxygen delivery system is at least 8 feet from any heat source: Oxygen is flammable, and this safety measure helps prevent fire hazards in the home environment.

B. Store the oxygen cylinder wrench with the oxygen tank: Keeping the wrench with the tank ensures quick and easy access in case the oxygen needs to be turned on or off during an emergency.

C. Adjust the oxygen flow rate as needed to ease breathing: Clients should never adjust oxygen flow independently; flow rate changes must be prescribed and monitored by the healthcare provider to prevent complications like oxygen toxicity or hypoventilation.

D. Take antibiotic medication with or without food: This varies by antibiotic. Cefazolin, for example, was given IV in the hospital, and the oral form prescribed for home use might require food to reduce GI side effects; instructions should be drug-specific.

E. Take steroid medication in the morning: Steroids mimic the body’s natural cortisol rhythm; taking them in the morning minimizes insomnia and other endocrine side effects.

F. Decrease the steroid dose each day: Steroid tapering must follow a specific provider-prescribed regimen. Improper tapering can lead to adrenal insufficiency or withdrawal symptoms.

G. Take antibiotics for 10 days: Completing the full antibiotic course, even if symptoms improve, helps prevent antibiotic resistance and ensures complete eradication of the infection.

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Correct Answer is C

Explanation

A. Tell the client to think about something else: Redirecting the client's thoughts without addressing their emotional distress can be dismissive. It does not support emotional processing or help the nurse assess the client’s coping needs.

B. Tell the client that everything will be okay: Offering false reassurance minimizes the client’s feelings and may hinder open communication. It does not validate their experience or help develop coping strategies.

C. Ask the client to describe their support system: Exploring the client’s support system helps assess available emotional and practical resources. This information is essential in planning appropriate interventions and enhancing coping capacity.

D. Ask the client why they're unable to cope: "Why" questions can make clients feel defensive and judged. It is more therapeutic to use open-ended questions that invite sharing without implying blame.

A. Increased tissue metabolism B. Reduced blood coagulation C. Decreased edema formation D. Improved blood flow

Correct Answer is C

Explanation

A. Increased tissue metabolism: Cold therapy slows tissue metabolism by reducing enzymatic activity and cellular function, which helps minimize inflammation and tissue damage, not increase metabolism.

B. Reduced blood coagulation: Cold therapy typically promotes vasoconstriction, which supports blood clotting rather than reducing coagulation. This effect can help control minor bleeding after surgery.

C. Decreased edema formation: Cold therapy causes vasoconstriction, which limits fluid accumulation in tissues and reduces capillary permeability, leading to less swelling and edema formation at the surgical site.

D. Improved blood flow: Cold causes vasoconstriction, which decreases blood flow temporarily. This helps limit inflammation and edema but does not enhance circulation during application.

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A nurse is assisting in the care of a client who has pneumonia. Exhibits The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

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A nurse is assisting in the care of a client who has pneumonia.

Exhibits
The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.