A nurse is caring for a client who has viral pneumonia. Which of the following actions should the nurse take?
Place the client in a private room.
Administer azithromycin.
Recommend a pneumococcal immunization.
Limit fluid intake to 1 L per day.
The Correct Answer is A
A. Correct. Viral pneumonia can be highly contagious, so placing the client in a private room can help prevent the spread of the infection to other patients.
B. Incorrect. Azithromycin is an antibiotic typically used for bacterial infections and would not be indicated for viral pneumonia.
C. Incorrect. Pneumococcal immunization is effective for preventing bacterial pneumonia caused by Streptococcus pneumoniae but is not indicated for viral pneumonia.
D. Incorrect. Limiting fluid intake to 1 L per day is not appropriate for a client with viral pneumonia, as adequate hydration is important for supporting the body's immune response and preventing dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Completing an incident report is crucial whenever an error occurs in patient care. This helps to ensure that the error is properly documented, investigated, and addressed to prevent recurrence and promote patient safety.
B. Allowing the incorrect solution to finish infusing could potentially harm the patient. Once the error is identified, the infusion should be stopped immediately, and corrective action should be taken.
C. Documenting that an error occurred in the client's medical record is important, but completing an incident report is a separate step that ensures a thorough investigation and response to the error.
D. Removing the IV catheter may be necessary if the infusion needs to be stopped, but it does not address the need to document and report the error to prevent future occurrences and ensure patient safety.
Correct Answer is B
Explanation
- A: The formula infusion rate being too slow typically does not cause diarrhea; instead, it could lead to inadequate nutritional intake.
- B: Administering formula that is too cold can cause diarrhea because the cold temperature can stimulate gastrointestinal motility, leading to increased bowel movements.
- C: A partially obstructed feeding tube is more likely to cause reduced or stopped flow of the formula, potentially leading to inadequate nutrition, rather than diarrhea.
- D: Delayed gastric emptying would typically cause symptoms such as nausea and vomiting, not diarrhea. Diarrhea is more likely when substances pass too quickly through the digestive system.
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