When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

This would help the client to feel valued, respected and involved in their own care, which can enhance their self-esteem.

Choice A is wrong because adding a nursing diagnosis of lowered self-esteem to the care plan does not address the underlying causes of the problem or provide any interventions to improve it.

It may also label the client and make them feel worse.

Choice B is wrong because giving praise for every decision the client makes is not realistic or sincere.

It may also undermine the client’s confidence and autonomy by implying that they need constant approval from others.

Choice D is wrong because modeling competent care for the client does not necessarily help them to maintain their self-esteem.

It may even make them feel inadequate or dependent on the nurse.

The nurse should obtain a sputum culture specimen before administering any antibiotics to the client with bacterial pneumonia.

This is because the sputum culture can help identify the causative organism and the appropriate antibiotic therapy.

Administering antibiotics before obtaining the sputum culture can alter the results and lead to ineffective treatment.

Choice B is wrong because azithromycin is an antibiotic that should be given after obtaining the sputum culture.

Choice C is wrong because coughing and deep breathing are important interventions to promote airway clearance and gas exchange, but they are not the priority actions for this client.

Choice D is wrong because offering clear liquids can help prevent dehydration and thin secretions, but they are not the most urgent action for this client.

Normal ranges for blood urea nitrogen (BUN) are 7 to 20 mg/dL and for creatinine are 0.6 to

1.2 mg/dL.

Elevated levels of these substances can indicate renal impairment, which can be a complication of bacterial pneumonia.

The nurse should monitor these levels and report any abnormalities to the health care provider.