A nurse is assisting in the care of a client who has pneumonia in the medical unit.
Which of the following information should the nurse include in discharge teaching for the client? (Select all that apply)
Take antibiotics for 10 days.
Ensure the oxygen delivery system is at least 8 feet from any heat source.
Decrease the steroid dose each day.
Take antibiotic medication with or without food.
Adjust the oxygen flow rate as needed to ease breathing.
Take steroid medication in the morning.
Correct Answer : A,B
Choice A rationale: It is important for the client to complete the full course of antibiotics to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice B rationale: Keeping the oxygen delivery system at least 8 feet from any heat source is crucial for safety to prevent the risk of fire.
Choice C rationale: Decreasing the steroid dose each day is not relevant in this case since there is no mention of the client being on steroids for the pneumonia treatment.
Choice D rationale: While taking antibiotic medication with or without food can be important, the specific instruction for this medication should be based on the pharmacist's or provider's recommendation. However, this option is not the best answer compared to completing the full course of antibiotics.
Choice E rationale: Adjusting the oxygen flow rate as needed to ease breathing should only be done under medical supervision. Clients are typically instructed to use a prescribed oxygen flow rate, and adjustments should not be made without consulting a healthcare provider.
Choice F rationale: Taking steroid medication in the morning can help reduce side effects, but again, this option is not relevant since the client's current treatment does not include steroids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Placing an identification tag on the outside of the client's shroud is essential for proper identification, especially in cases requiring an autopsy. This practice ensures that the deceased person is accurately identified throughout the process and helps prevent any mix-ups or misidentifications.
Choice B rationale
Asking the assistive personnel to document the client's time of death is incorrect as it is the nurse's responsibility to document the time of death accurately in the medical records, not the assistive personnel's duty.
Choice C rationale
Wearing sterile gloves when cleaning the client's body is not necessary. Standard precautions and the use of non-sterile gloves are sufficient for postmortem care unless there are specific reasons requiring sterility, which is uncommon.
Choice D rationale
Removing the client's dentures and giving them to the client's family is incorrect for an autopsy case. Dentures should be left in place to maintain the integrity of the body and to ensure that all personal effects are accurately documented and managed.
Correct Answer is C
Explanation
Choice A rationale
Orthostatic hypotension is characterized by a sudden drop in blood pressure when standing up, often due to dehydration, medication side effects, or autonomic dysfunction. While concerning, it is not a direct risk factor for cardiovascular disease.
Choice B rationale
A BMI of 24 is within the normal range (18.5–24.9) and is not considered a risk factor for cardiovascular disease. Maintaining a healthy BMI is part of cardiovascular disease prevention.
Choice C rationale
Type 1 diabetes mellitus significantly increases the risk of cardiovascular disease due to its impact on blood vessels and the heart. It is a well-documented risk factor requiring careful management.
Choice D rationale
A family history of osteoporosis is relevant for bone health but does not directly increase the risk of cardiovascular disease. Cardiovascular risk factors are more closely related to metabolic and lifestyle factors.
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