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A nurse is caring for a client who has pneumonia

Exhibits

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

Adjust the oxygen flow rate as needed to ease breathing.

Antibiotic therapy should be taken for 10 days.

Store the oxygen cylinder wrench with the oxygen tank.

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

Steroid medication should be taken in the morning.

Antibiotic medication can be taken with or without food.

The steroid dose will decrease each day.

Answer and Explanation

Correct Answer : A,C

A.   Adjusting the oxygen flow rate helps maintain adequate oxygen levels, especially during exertion or increased dyspnea.
B.   The antibiotics were discontinued on Day 4, so the duration of antibiotic therapy is not 10 days.
C.   Storing the wrench with the oxygen tank ensures that it's readily available to adjust or replace the tank.
D.   Placing the oxygen delivery system away from heat sources helps prevent potential fire hazards.
E. There is no specifications on the time to take steroid medications
F.   The specific instructions for taking the antibiotics weren't provided in the scenario.
G.   The scenario doesn't specify a decreasing dose regimen for the steroid medication.

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Correct Answer is B

Explanation

Rationale for A: Side-lying with the right side of the chest elevated does not provide the necessary gravitational effect to drain the left lower lobe. The Trendelenburg position is more effective for lower lobe drainage.

Rationale for B: Right lateral in Trendelenburg position is the appropriate position for postural drainage of the left lower lobe. The combination of gravity and positioning helps drain secretions from the lower lobe effectively.

Rationale for C: Prone with pillows under the lower extremities does not facilitate proper drainage of the left lower lobe. This position might be more useful for posterior lobe drainage, not the lower lobes.

Rationale for D: Supine in low-Fowler's position is not ideal for draining secretions from the lower lobes of the lungs. Postural drainage requires specific positions that use gravity to promote secretion clearance from the affected lobe.

A. Assist the client into semi-Fowler's position. B. Give the client's medications between meals. C. Encourage the client to use a straw to take the medications. D. Administer the client's medications one at a time.

Correct Answer is D

Explanation

A. Assisting the client into a semi-Fowler's position might be beneficial but doesn't directly address dysphagia while taking medications.
B. Timing medications between meals isn't directly related to improving medication intake for someone with dysphagia.
C. Using a straw might not be recommended as it could increase the risk of aspiration.
D. Administering medications one at a time allows for better control and observation of swallowing ability and reduces the risk of aspiration.

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A nurse is caring for a client who has pneumonia Exhibits The nurse is providing discharge teaching for 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 caring for a client who has pneumonia

Exhibits

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