Exhibits
The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.
Ensure the oxygen delivery system is at least 8 feet from any heat source
Adjust the oxygen flow rate as needed to ease breathing.
Take antibiotic medication with or without food.
Decrease the steroid dose each day.
Take antibiotics for 10 days.
Store the oxygen cylinder wrench with the oxygen tank.
Take steroid medication in the morning.
Correct Answer : A,C,E,F,G
A. Ensure the oxygen delivery system is at least 8 feet from any heat source- This is important to prevent any risk of fire or combustion around the oxygen source.
B. Adjust the oxygen flow rate as needed to ease breathing- oxygen flow rate should not be adjusted without consulting a healthcare provider, as it can lead to complications.
C. Take antibiotic medication with or without food- The client should be advised to take the antibiotic medication as directed by the healthcare provider, which may be with or without food depending on the specific medication.
D. Decrease the steroid dose each day- It's not advisable to decrease the steroid dose each day without medical guidance.
E. Take antibiotics for 10 days- Completing the full course of antibiotics is crucial to ensure effective treatment of pneumonia and prevent recurrence or antibiotic resistance.
F. Store the oxygen cylinder wrench with the oxygen tank- storing the oxygen cylinder wrench with the oxygen tank ensures it is readily available in case of an emergency.
G. Take steroid medication in the morning- Taking steroid medication in the morning helps mimic the body's natural cortisol secretion pattern and reduces the risk of insomnia or sleep disturbances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Obtain urine from the drainage bag if a urinary specimen is required- Urine specimens should be collected from the catheter port using a sterile technique, not from the drainage bag.
B. Use a catheter securing device to hold the catheter in place- A catheter securing device helps prevent movement or accidental removal of the catheter, reducing the risk of trauma or dislodgment.
C. Change the catheter bag every 3 days and as needed- Catheter bags should be changed according to facility policy or if they become soiled, not necessarily every 3 days.
D. Position the drainage bag higher than the client's bladder- The drainage bag should be positioned lower than the client's bladder to facilitate urine drainage by gravity and prevent reflux into the bladder.
Correct Answer is ["A","B","C","D"]
Explanation
An irregular heart rhythm could indicate potential cardiovascular issues. Additionally, deep tendon reflexes graded at 4+ suggest hyperreflexia, which may be associated with neurological disorders and should be investigated further.
Hyperactive bowel sounds in all four quadrants could indicate gastrointestinal hypermotility, which might require prompt assessment to determine the underlying cause.
Generalized weakness and mild leg cramping also require follow-up to determine the cause.
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