A 57-year-old female patient was admitted to the hospital with a left upper wound infection (methicillin-resistant Staphylococcus aureus [MRSA] and several gram-negative bacteria) and cellulitis 5 days ago.

Her wound is packed and requires a dressing change twice a day.

She is scheduled for discharge to home with her daughter to continue antibiotic therapy for another week.

What health teaching should the nurse include as part of the discharge instructions for the patient and her daughter?

Select all that apply.

Use a sterile technique when packing the wound and changing the dressing twice a day.

Stop taking the antibiotics when your arm feels better and is not reddened.

Notify your primary health care provider if your diarrhea gets worse.

Avoid strenuous activity and take frequent rest periods.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale
Using a sterile technique when packing the wound and changing the dressing twice a day is crucial to prevent further infection.
Choice B rationale
It is important to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice C rationale
Diarrhea can be a side effect of some antibiotics. If it gets worse, it could be a sign of an infection such as Clostridium difficile, which requires immediate medical attention.
Choice D rationale
Rest is important for recovery. Strenuous activity could delay healing and increase the risk of complications.

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Correct Answer is A

Explanation

Choice A rationale

The HITECH Act established a regulatory framework for EHRs that imposed security and privacy requirements not only on medical providers, but also on other companies and organizations they did business with that might also handle EHR data. This includes ensuring that no protected health information is posted on social media.

A. Auscultate the lung fields to identify any abnormal sounds. B. Administer oxygen via a nasal cannula at 8 liters per minute. C. Elevate the head of the patient’s bed to an upright position. D. Assist the patient to get up to the chair.

Correct Answer is B

Explanation

Choice A rationale
While auscultating the lung fields can provide valuable information about the patient’s respiratory status, it is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.
Choice B rationale
Administering oxygen is the most appropriate action for a COPD patient with an oxygen saturation of 89%. This will help increase the patient’s oxygen saturation and alleviate their shortness of breath.
Choice C rationale
Elevating the head of the bed can help improve lung expansion and ease breathing, but it is not as immediately effective as administering oxygen.
Choice D rationale
Assisting the patient to get up to the chair is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.

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Naxlex Comprehensive Predictor Exams

Which of the following actions is specific to the Health Information Technology for Economic and Clinical Health (HITECH) Act?

Correct Answer is A

Explanation

A patient with chronic obstructive pulmonary disease (COPD) is experiencing shortness of breath while breathing room air. The patient’s pulse oximetry reading is 89% and their respiratory rate is 22. What should be the nurse’s priority action?

Correct Answer is B

Explanation

Prescription Order: 1g in 50 mL to infuse over 30 minutes; gtt factor= 15gtts/1mL. How many drops per minute will you infuse?

A person receives a ticket for parking their car on a sidewalk. How would this offense be classified in terms of criminal law?

The RN is creating assignments for the day. The team includes RNs, LPNs, and Nurse Aides. Which patient is most suitable to assign to the LPN?

When teaching clients about maintaining a safe environment, which statement would be most suitable to include?

In the context of SBAR Communication, which part of the following message corresponds to the “A” in SBAR?

The nurse is caring for a client diagnosed with a systemic staphylococci infection from the client’s own flora. The nurse correctly notes that this is an example of a(n):

The nurse is examining new medication orders for a patient and notes the following order: Methadone 40.0 mg orally twice a day. Why does the nurse contact the provider to clarify the order?