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
Securing the catheter helps prevent it from moving, which reduces the risk of urethral trauma and infection. Proper fixation is essential for patient safety and comfort.
Choice B rationale
Urine should not be obtained from the drainage bag for specimen collection as it may be contaminated. Fresh urine samples directly from the catheter port are more accurate.
Choice C rationale
Catheter bags should be changed based on clinical need, which can be more frequent than every 3 days. This ensures hygiene and reduces infection risks.
Choice D rationale
The drainage bag should be kept below the bladder level to prevent backflow of urine, which can lead to infection.
Correct Answer is D
Explanation
Choice A rationale
Cleaning the hearing aid with isopropyl alcohol is not recommended as it can damage the device. Proper cleaning methods involve using specialized cleaning tools and gentle cleaning solutions.
Choice B rationale
Turning the hearing aid off for 5 minutes is not likely to resolve the whistling sound, which is often caused by feedback issues that need to be addressed through other means such as adjusting the fit or volume.
Choice C rationale
Soaking the hearing aid in warm water is inappropriate and can cause irreparable damage. Hearing aids are electronic devices and should not be submerged in water.
Choice D rationale
Decreasing the volume on the hearing aid can help reduce the whistling sound, which is commonly caused by feedback. Proper fitting and volume adjustments are key to preventing this issue.
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