A nurse is assisting in the care of a client who has pneumonia in the medical unit.
Which of the following information should the nurse include in discharge teaching for the client? (Select all that apply)
Take antibiotics for 10 days.
Ensure the oxygen delivery system is at least 8 feet from any heat source.
Decrease the steroid dose each day.
Take antibiotic medication with or without food.
Adjust the oxygen flow rate as needed to ease breathing.
Take steroid medication in the morning.
Correct Answer : A,B
Choice A rationale: It is important for the client to complete the full course of antibiotics to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice B rationale: Keeping the oxygen delivery system at least 8 feet from any heat source is crucial for safety to prevent the risk of fire.
Choice C rationale: Decreasing the steroid dose each day is not relevant in this case since there is no mention of the client being on steroids for the pneumonia treatment.
Choice D rationale: While taking antibiotic medication with or without food can be important, the specific instruction for this medication should be based on the pharmacist's or provider's recommendation. However, this option is not the best answer compared to completing the full course of antibiotics.
Choice E rationale: Adjusting the oxygen flow rate as needed to ease breathing should only be done under medical supervision. Clients are typically instructed to use a prescribed oxygen flow rate, and adjustments should not be made without consulting a healthcare provider.
Choice F rationale: Taking steroid medication in the morning can help reduce side effects, but again, this option is not relevant since the client's current treatment does not include steroids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Keeping elbows slightly bent when grasping the walker helps to maintain stability and control. This positioning reduces the strain on the arms and shoulders, providing a more comfortable and effective way to use the walker.
Choice B rationale
Sliding the walker and moving it about a foot in front can cause instability. Instead, lifting the walker and placing it step-by-step ensures better support and reduces the risk of falls.
Choice C rationale
Moving the walker and the stronger leg at the same time can lead to imbalance and falls. The correct method is to move the walker first, then step forward with the weaker leg, followed by the stronger leg.
Choice D rationale
Keeping the walker height adjusted so the user leans slightly forward is incorrect. The walker height should be at the level of the wrists when the arms are hanging down, allowing for a natural and upright posture.
Correct Answer is B,A,C,D,E
Explanation
Choice A rationale
Unlocking and removing the inner cannula is the first step. It allows access to the inner cannula for cleaning and ensures that the tracheostomy tube remains patent.
Choice B rationale
Pouring 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin provides the necessary solution for cleansing the inner cannula and stoma site, helping to maintain sterility and prevent infection.
Choice C rationale
Scrubbing the inside and outside of the inner cannula with a small brush ensures that any mucus or debris is removed, reducing the risk of infection and maintaining clear airways.
Choice D rationale
Wiping the inside of the inner cannula with a folded pipe cleaner helps to remove any remaining debris or solution, ensuring that the inner cannula is thoroughly cleaned.
Choice E rationale
Cleansing the stoma site with 0.9% sodium chloride solution helps to remove any mucus or debris from the site, maintaining hygiene and reducing the risk of infection.
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