A nurse is caring for a client who has pneumonia.

Exhibits

Store the oxygen cylinder wrench with the oxygen tank.

Antibiotic therapy should be taken for 10 days.

Adjust the oxygen flow rate as needed to ease breathing,

Steroid medication should be taken in the morning.

The steroid dose will decrease each day.

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

Answer and Explanation

Correct Answer : D,E,F,G

D. Since the client is being discharged with home oxygen therapy, it's essential for the caregiver to know how to adjust the oxygen flow rate to maintain adequate oxygenation for the client's comfort and respiratory needs.
E. Prednisone, a steroid medication, is often prescribed to be taken in the morning to minimize the risk of insomnia or sleep disturbances associated with its use. Therefore, the nurse should emphasize this timing to optimize the therapeutic effects and minimize potential side effects.
F. Prednisone is typically prescribed in a tapering regimen, where the dose decreases gradually over time to prevent withdrawal symptoms and adrenal insufficiency. Therefore, it's crucial for the nurse to inform the client and caregiver about the tapering schedule to ensure adherence to the treatment plan.
G. It's important to keep the oxygen delivery system, including the oxygen tank and nasal cannula, away from any heat source to reduce the risk of fire hazards. Therefore, the nurse should educate the client

and caregiver about maintaining a safe distance from heat sources to prevent accidents and ensure their safety.
A. Some antibiotics can be taken with or without food, specific instructions are given for Cephalexin, which should generally be taken with food to minimize gastrointestinal side effects. Therefore, it's important for the nurse to provide this information to the client and caregiver.
B. It's essential for the caregiver to know where the oxygen cylinder wrench is stored for emergency purposes but it's not advisable to store it directly with the oxygen tank. Storing it separately ensures that it is readily accessible without causing any potential harm to the tank's integrity or creating a safety hazard.
C. The prescription for Cephalexin is to be taken every 6 hours for 5 days, not for 10 days. Therefore, it's crucial for the nurse to clarify the correct duration of antibiotic therapy to prevent misunderstanding and ensure appropriate adherence to the treatment plan.

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Correct Answer is B

Explanation

B. Area rugs can be a significant tripping risk, especially for older adults with osteoporosis who are more vulnerable to fractures from falls. The nurse should intervene to either remove the rug or secure it with non-slip backing or tape to prevent slipping and tripping.
A. Using a medication organizer can help ensure that the client takes their medications correctly and consistently, reducing the risk of missed doses or overdoses. There is no need for the nurse to intervene here.
C. Grab bars in the shower can greatly reduce the risk of falls in the bathroom, which is a common site for accidents. This does not require intervention as it is a good safety measure.
D. This temperature setting is within a safe range to prevent burns. Most guidelines recommend setting the hot water heater to no higher than 48° C (120° F) to prevent scalding. Therefore, no intervention is needed here either.

A. "Why are you concerned even though everyone is here to help you?" B. "You shouldn't worry about the future so you can concentrate on getting well." C. "If you work hard on your physical therapy, you won't need to worry." D. "You're concerned about what will happen when you leave the hospital?"

Correct Answer is D

Explanation

D. Demonstrates empathy and validation of the client's feelings. It acknowledges the client's concerns and opens the door for further discussion about their worries and fears regarding the future. By actively listening and addressing the client's concerns, the nurse can help establish trust and rapport, which are essential for effective therapeutic communication.
A. May inadvertently minimize or invalidate the client's feelings by suggesting that their concerns are unwarranted or irrational. This response does not address the client's concerns and may hinder open communication.
B. This dismisses the client's concerns and may make them feel guilty or ashamed for worrying about their future. This response does not acknowledge the client's emotions and fails to provide support or reassurance.
C. Focuses solely on the physical aspect of the client's recovery and does not address their emotional concerns about the future. While encouragement to participate in physical therapy is important, it should be accompanied by acknowledgment and validation of the client's emotional needs.

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A nurse is caring for a client who has pneumonia. Exhibits

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a client who has pneumonia.

Exhibits