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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 : 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.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Weighing oneself once weekly may not be frequent enough to monitor changes related to heart failure or medication effects.
B. Taking hydrochlorothiazide in the evening is not usually a crucial safety consideration; it is typically taken in the morning due to its diuretic effects.
C. Leaving a light on in the bathroom at night can prevent falls, which are a significant concern in older adults with heart failure.
D. Taking a hot bath before bedtime might not be a safety consideration related to heart failure or medication use and could potentially cause issues with temperature regulation or dehydration.

A. "Hospice care is the best thing for you at this time." B. "Enjoy the time you have and do the things you want to do." C. "I will contact your provider to discuss your options." D. "You need to understand that you have very little time left."

Correct Answer is C

Explanation

A. Stating that hospice care is the best option might not align with the client's wishes for continued treatment.
B. Encouraging the client to enjoy their time is supportive but doesn't address the client's request for more treatment.
C. Initiating a discussion with the healthcare provider allows the client to explore available treatment options while honoring their wishes.
D. Using phrases that emphasize the limited time left might not be supportive or respectful of the client's wishes for more treatment.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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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.