A nurse is assisting in the plan of care for a client showing signs of pneumonia. Which of the following nursing actions should be included?
Obtain a sputum culture.
Cough and deep breathe every 6 hours.
Encourage fluid intake of 1500 mL/day.
Position the client prone.
The Correct Answer is A
A. Obtain a sputum culture: Obtaining a sputum culture helps identify the causative organism of pneumonia, which guides appropriate antibiotic therapy.
B. Cough and deep breathe every 6 hours: While coughing and deep breathing exercises are important for preventing complications such as atelectasis, they are not specific to pneumonia treatment and may not be appropriate for all patients with pneumonia.
C. Encourage fluid intake of 1500 mL/day: Adequate fluid intake is generally recommended for overall health but is not a specific intervention for pneumonia treatment.
D. Position the client prone: Positioning the client prone is not a standard intervention for pneumonia treatment. Depending on the severity and type of pneumonia, the client's positioning may vary, but prone positioning is not routinely recommended.
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Related Questions
Correct Answer is C
Explanation
A. To relieve itching or discomfort: Skin biopsies are not typically performed to relieve itching or discomfort. Other treatments, such as topical medications or systemic therapies, may be used for symptomatic relief.
B. To improve the appearance of the skin: Skin biopsies are not performed for cosmetic purposes. They are diagnostic procedures used to obtain tissue samples for examination under a microscope to diagnose or rule out various skin conditions.
C. To remove a suspicious lesion: Skin biopsies are commonly performed to remove suspicious lesions, such as moles, growths, or areas of abnormal skin, for further evaluation and diagnosis.
This helps determine if the lesion is benign or malignant and guides subsequent treatment decisions.
D. To treat a skin infection: Skin biopsies are not performed as a primary treatment for skin infections. Biopsies are diagnostic procedures used to obtain tissue samples for analysis and are not typically indicated for treating infections.
Correct Answer is D
Explanation
A. When the patient will be resting for at least an hour: There is no specific requirement for the patient to rest after applying ointment to an inflamed skin rash.
B. In the evening before bed: While applying ointment before bed may be convenient for some patients, it may not be the best time for all patients, especially if the rash requires more frequent application.
C. In the morning before the patient dresses: Applying ointment in the morning may be appropriate, but it depends on the specific needs of the patient and the frequency of application recommended by the healthcare provider.
D. After the patient bathes: Applying ointment after the patient bathes can help ensure that the skin is clean and dry, maximizing the effectiveness of the ointment. Additionally, bathing can
help remove any debris or irritants from the skin, preparing it for the application of the ointment.
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