An adolescent from a poor neighborhood who has a history of severe chronic obstructive pulmonary disease (COPD) and peripheral vascular disease (PVD) is being discharged from a funded nursing facility. Which action is most important for the nurse to implement?
Reinforce need for adequate hydration.
Provide typed instructions for healthy diet selection.
Schedule follow-up appointments with specialists.
Demonstrate specific breathing and walking exercises.
The Correct Answer is C
Choice A reason: Reinforcing need for adequate hydration is not the most important action for the nurse to implement, as this is a general recommendation for all clients and does not address the specific needs of this client. This is a distractor choice.
Choice B reason: Providing typed instructions for healthy diet selection is not the most important action for the nurse to implement, as this may not be feasible or accessible for this client who lives in a poor neighborhood and may have limited resources and literacy. This is another distractor choice.
Choice C reason: Scheduling follow-up appointments with specialists is the most important action for the nurse to implement, as this can ensure that this client receives continuous and comprehensive care for their complex and chronic conditions, which can improve their outcomes and quality of life. Therefore, this is the correct choice.
Choice D reason: Demonstrating specific breathing and walking exercises is not the most important action for the nurse to implement, as this can be done by other health care professionals or at home by the client. This is another distractor choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Flushed, peeling skin is not a specific finding for scarlet fever. Flushed, peeling skin can be caused by various factors, such as sunburn, dehydration, allergic reaction, or infection. Scarlet fever is a condition that results from a Streptococcal infection in the throat or skin that produces toxins that cause a rash and fever. The rash usually begins on the neck and chest and then spreads to other parts of the body.
Choice B reason: This is the correct answer because red bumps across chest are a characteristic finding for scarlet fever. Red bumps across chest are part of the rash that develops due to toxins produced by Streptococcal bacteria. The rash usually feels like sandpaper and may be accompanied by itching or burning sensations. The rash typically lasts for about a week and then fades, leaving behind peeling skin.
Choice C reason: White coating on tongue is not a clear indication for scarlet fever. White coating on tongue can be caused by various factors, such as dehydration, poor oral hygiene, fungal infection, or inflammation. Scarlet fever may cause white patches or red spots on the tongue, but this is not a distinctive feature of scarlet fever.
Choice D reason: High, protracted fever is not a unique finding for scarlet fever. High, protracted fever can be caused by various factors, such as infection, inflammation, dehydration, or immunological disorder. Scarlet fever may cause high fever (above 101°F or 38.3°C), but this is not a definitive sign of scarlet fever.
Correct Answer is C
Explanation
Choice A reason: Yellow-tinged sputum is not a serious adverse effect of linezolid. It may indicate an infection or inflammation in the respiratory tract, but it does not require immediate attention from the health care provider.
Choice B reason: Nausea and headache are common side effects of linezolid. They are usually mild and self-limiting, and they can be managed with supportive measures such as hydration, rest, and analgesics.
Choice C reason: Watery diarrhea is a sign of pseudomembranous colitis, a potentially life-threatening complication of linezolid. It is caused by an overgrowth of Clostridium difficile bacteria in the colon, which produce toxins that damage the intestinal mucosa. It can lead to dehydration, electrolyte imbalance, sepsis, and perforation. The nurse should report this finding to the health care provider immediately and stop the linezolid infusion.
Choice D reason: Increased fatigue is not a specific or serious adverse effect of linezolid. It may be related to the underlying infection, anemia, or other factors. It does not require urgent intervention from the health care provider.
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