A nurse is caring for a client who has pneumonia.
Store the oxygen cylinder wrench with the oxygen tank.
Antibiotic therapy should be taken for 10 days.
Adjust the oxygen flow rate as needed to ease breathing,
Steroid medication should be taken in the morning.
The steroid dose will decrease each day.
Ensure the oxygen delivery system is at least 8 feet from any heat source.
Ensure the oxygen delivery system is at least 8 feet from any heat source.
Correct Answer : D,E,F,G
D. Since the client is being discharged with home oxygen therapy, it's essential for the caregiver to know how to adjust the oxygen flow rate to maintain adequate oxygenation for the client's comfort and respiratory needs.
E. Prednisone, a steroid medication, is often prescribed to be taken in the morning to minimize the risk of insomnia or sleep disturbances associated with its use. Therefore, the nurse should emphasize this timing to optimize the therapeutic effects and minimize potential side effects.
F. Prednisone is typically prescribed in a tapering regimen, where the dose decreases gradually over time to prevent withdrawal symptoms and adrenal insufficiency. Therefore, it's crucial for the nurse to inform the client and caregiver about the tapering schedule to ensure adherence to the treatment plan.
G. It's important to keep the oxygen delivery system, including the oxygen tank and nasal cannula, away from any heat source to reduce the risk of fire hazards. Therefore, the nurse should educate the client
and caregiver about maintaining a safe distance from heat sources to prevent accidents and ensure their safety.
A. Some antibiotics can be taken with or without food, specific instructions are given for Cephalexin, which should generally be taken with food to minimize gastrointestinal side effects. Therefore, it's important for the nurse to provide this information to the client and caregiver.
B. It's essential for the caregiver to know where the oxygen cylinder wrench is stored for emergency purposes but it's not advisable to store it directly with the oxygen tank. Storing it separately ensures that it is readily accessible without causing any potential harm to the tank's integrity or creating a safety hazard.
C. The prescription for Cephalexin is to be taken every 6 hours for 5 days, not for 10 days. Therefore, it's crucial for the nurse to clarify the correct duration of antibiotic therapy to prevent misunderstanding and ensure appropriate adherence to the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
B. Using grab bars when getting in and out of the bathtub helps prevent slips and falls, especially in wet or slippery conditions. This is an important safety measure, particularly for individuals with mobility issues or who are at risk of falling.
C. Having a fire escape plan with the family is crucial for preparedness in the event of a fire emergency. This includes identifying escape routes, practicing fire drills, and designating a meeting place outside the home. Having a plan can help ensure everyone's safety in case of a fire.
D. Checking medications for expiration dates is essential to ensure their effectiveness and safety. Expired medications may be less potent or could have potentially harmful effects. Discarding expired medications and obtaining new prescriptions as needed helps prevent medication errors and adverse reactions.
A. Applying tape over frayed areas of electrical cords is not a safe practice and can pose a fire hazard. Frayed cords should be replaced immediately to prevent electrical shocks or fires. Therefore, this statement does not indicate an understanding of home safety.
E. Setting the hot water heater to 140 degrees Fahrenheit (Choice E) is not recommended as it can pose a scalding risk, especially for young children and older adults with sensitive skin. The recommended
temperature for hot water heaters is typically around 120 degrees Fahrenheit to reduce the risk of scalds while still providing hot water for daily use. Therefore, this statement does not indicate an understanding of home safety.
Correct Answer is ["A","B","D","E"]
Explanation
A. Obtaining a prescription for a diuretic may also be necessary to manage fluid overload
B Administering oxygen is essential to correct hypoxia, which is indicated by the client's symptoms of lung crackles and hypoxia. Oxygen therapy helps improve oxygenation and alleviate respiratory distress.
D. Stopping the transfusion is crucial because the client's symptoms, including lung crackles, hypoxia, and distended neck veins, suggest a potential transfusion reaction, such as transfusion-associated circulatory overload (TACO).
E. Placing the client in high-Fowler's position, with the head of the bed elevated to 90 degrees or as high as tolerated, helps improve ventilation and reduce venous return to the heart, which can alleviate symptoms of fluid overload and respiratory distress.
C. Administering epinephrine is not indicated in this situation as it is typically used for anaphylactic reactions, not circulatory overload.
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