A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease (COPD and peripheral vascular disease (PVD is being discharged from a skilled nursing facility. Which action is most important for the nurse to implement?
Reinforce the need for adequate hydration.
Provide typed instructions for healthy diet selections.
Explain a daily regimen.
Demonstrate specific strengthening exercises.
The Correct Answer is A
A. Reinforce the need for adequate hydration: Adequate hydration is essential for liquefying secretions in the lungs, especially in clients with COPD who may have increased mucus production. Proper hydration also supports cardiovascular function, particularly in clients with peripheral vascular disease.
B. Provide typed instructions for healthy diet selections: While diet is important for overall health, hydration is the priority in this scenario due to the client's respiratory and vascular conditions.
C. Explain a daily regimen: While educating the client about a daily regimen is important, ensuring adequate hydration takes precedence in this situation.
D. Demonstrate specific strengthening exercises: While exercise is beneficial for clients with COPD and PVD, ensuring proper hydration is more critical for respiratory and cardiovascular function in this scenario.
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Related Questions
Correct Answer is D
Explanation
A. Marking the outline of the "olive-shaped" mass is important for diagnosis but is not the highest priority in pre-operative care.
B. Instructing parents regarding care of the incisional area is important but not the highest priority before surgery.
C.Monitoring feedings is important, but the primary concern is ensuring hydration and electrolyte balance, which may be compromised due to vomiting in pyloric stenosis.
D. IV fluids are essential to correct dehydration and electrolyte imbalances caused by vomiting in pyloric stenosis. This is the highest priority to stabilize the infant before surgery.
Correct Answer is ["A","B","C","D"]
Explanation
Insufficient sleep, particularly due to nightmares, can exacerbate depression and should be addressed promptly.
Feeling "jumpy" or experiencing heightened anxiety, especially in situations reminiscent of the trauma, indicates a possible post-traumatic stress disorder (PTSD symptom.
A profound sense of sadness and numbness can be indicative of severe depression, requiring immediate attention.
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