A nurse is caring for a client who has pneumonia
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.
Correct Answer : C,D,E
A. Adjusting the oxygen flow rate as needed is incorrect because oxygen is a prescribed medical gas. The client or caregiver must never alter the flow rate based on subjective breathing comfort; it should only be adjusted under the explicit direction of the healthcare provider.
B. Antibiotic therapy should be taken for 10 days is an incorrect assumption. The client’s cefazolin IV was discontinued on Day 4, and the provided chart details do not show an ongoing oral antibiotic prescription intended for home use.
C. Storing the oxygen cylinder wrench with the oxygen tank is a critical safety practice. This ensures that the specialized wrench needed to quickly turn the tank valve on or off is immediately accessible to the client or caregiver during an emergency or tank change.
D. Ensuring the oxygen delivery system is at least 8 feet from any heat source is an essential home fire-safety measure. Oxygen strongly accelerates combustion, so keeping tanks and tubing far away from sources like stoves, space heaters, or open flames prevents accidental fires.
E. Steroid medication should be taken in the morning because systemic corticosteroids can cause significant insomnia and central nervous system stimulation if taken later in the day. A morning dose also closely mimics the body's natural diurnal rhythm of cortisol release.
F. Antibiotic medication can be taken with or without food is incorrect because the client's current IV antibiotic therapy was discontinued, and there is no active prescription for a home oral antibiotic listed in the medical records to teach about.
G. The steroid dose will decrease each day is incorrect based on the medical records. The client is prescribed a steady dose of prednisone 40 mg daily, and there is no indication or instruction in the MAR for a daily tapering schedule at this time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Rather than rubbing dry, patting the peristomal skin dry after cleaning is recommended.
B. The frequency of changing the pouch depends on various factors, not a fixed 24-hour schedule.
C. Ensuring the pouch is slightly larger than the stoma prevents irritation and damage.
D. Applying the pouch when the skin barrier is dry ensures better adhesion.
Correct Answer is ["A","C","D"]
Explanation
A. Assessing skin temperature and color is crucial to ensure circulation and skin integrity before applying restraints.
B. Attaching restraints to the bed rail isn't considered best practice, as it can lead to entrapment and injury.
C. Ensuring the client's bed is in the lowest position is essential to prevent falls and reduce the risk of injury if the client attempts to leave the bed.
D. Padding bony prominences helps prevent skin breakdown and discomfort.
E. Securing restraints to allow two fingers and not three,to slide under them ensures proper fit and prevents excessive tightness that could impair circulation.
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