A nurse is assisting in the care of a client who has pneumonia in the medical unit.

Exhibits

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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Placing one hand over the other against the upper body of the gown increases the risk of contamination. The sterile field must be maintained by keeping hands in a position where they are less likely to come into contact with non-sterile surfaces.

Choice B rationale

Clasping hands behind the body at the waist can also lead to contamination, as the hands may inadvertently touch the gown, which may not be sterile in that area. It’s essential to keep hands in a position where they are less likely to become contaminated.

Choice C rationale

Keeping arms at the sides with hands in a relaxed position might cause hands to brush against non-sterile surfaces or clothing, leading to contamination. Therefore, this position is not recommended for maintaining sterility.

Choice D rationale

Interlocking fingers and holding hands away from the body above the waist is the proper technique for maintaining sterility. This position ensures that the hands are kept in the sterile field and away from non-sterile surfaces, reducing the risk of contamination.

A. Obtain verbal consent from the client. B. Have another nurse co-sign the client's consent. C. Check the medical record for the client's signature on a previous consent form. D. Witness the client's signature on a consent form.

Correct Answer is D

Explanation

Choice A rationale

Verbal consent alone is not sufficient for invasive procedures like urinary catheter insertion. Documented consent is necessary to ensure legal and ethical compliance.

Choice B rationale

Having another nurse co-sign the consent does not verify the client's explicit agreement to the procedure. It is important that the client’s direct consent is documented.

Choice C rationale

Checking the medical record for a previous consent form may not reflect the client's current willingness. Consent should be obtained fresh to confirm current understanding and agreement.

Choice D rationale

Witnessing the client's signature on a consent form ensures that the client has been informed and agrees to the procedure, fulfilling both legal and ethical requirements.

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A nurse is assisting in the care of a client who has pneumonia in the medical unit. Exhibits Which of the following information should the nurse include in discharge teaching for the client? (Select all that apply)

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A nurse is assisting in the care of a client who has pneumonia in the medical unit.

Exhibits

Which of the following information should the nurse include in discharge teaching for the client? (Select all that apply)