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 A
Explanation
This is the first and most crucial step before administering any blood product. Ensuring compatibility between the packed red blood cells (PRBCs) and the client's blood type is vital to prevent a transfusion reaction. The nurse should carefully check the blood product against the client's
While it is important to have an appropriate-sized IV catheter for blood transfusions, checking the compatibility of the blood product with the client's blood type is the primary concern before initiating the transfusion. The IV catheter size becomes relevant after confirming compatibility.
Confirming the identity of the client with the blood bank technician is important, but it is not the first step before the start of the infusion. The immediate priority is to check the compatibility of the blood product with the client's blood type. Confirming the client's identity becomes crucial during the administration process.
Priming the tubing with lactated Ringer's is not the first step. The initial focus should be on verifying the compatibility of the blood product with the client's blood type. After ensuring compatibility, the nurse can then prime the tubing with the appropriate blood product.
Correct Answer is A
Explanation
A. Keeping the client's heels off the mattress helps prevent pressure injuries, particularly heel ulcers, which are common in clients who are immobile or on bed rest. Pressure on the heels can impede blood flow and lead to tissue damage, especially if the client remains in the same position for an extended period.
B.Repositioning the client is also important for preventing pressure injuries, as it helps redistribute pressure and relieve pressure on vulnerable areas of the body. However, it should be done more frequently.
C. Raising the head of the client's bed to a 60° angle is not directly related to preventing pressure injuries. While elevating the head of the bed may provide comfort and facilitate breathing for some clients, it does not address pressure distribution or protection of bony prominences.
D. Massaging the client's bony prominences is contraindicated for preventing pressure injuries. Massaging bony prominences can increase friction and shear forces on the skin, which may actually exacerbate the risk of pressure injury development.
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