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A nurse is caring for a client who has pneumonia

Exhibits

The nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

Adjust the oxygen flow rate as needed to ease breathing.

Antibiotic therapy should be taken for 10 days.

Store the oxygen cylinder wrench with the oxygen tank.

Ensure the oxygen delivery system is at least 8 feet from any heat source.

Steroid medication should be taken in the morning.

Antibiotic medication can be taken with or without food.

The steroid dose will decrease each day.

Answer and Explanation

Correct Answer : A,C

A.   Adjusting the oxygen flow rate helps maintain adequate oxygen levels, especially during exertion or increased dyspnea.
B.   The antibiotics were discontinued on Day 4, so the duration of antibiotic therapy is not 10 days.
C.   Storing the wrench with the oxygen tank ensures that it's readily available to adjust or replace the tank.
D.   Placing the oxygen delivery system away from heat sources helps prevent potential fire hazards.
E. There is no specifications on the time to take steroid medications
F.   The specific instructions for taking the antibiotics weren't provided in the scenario.
G.   The scenario doesn't specify a decreasing dose regimen for the steroid medication.

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Correct Answer is C

Explanation

A. Elevating full-length side rails on both sides of the client's bed is not recommended, as it can increase the risk of injury if the client tries to climb over them or gets trapped between them.

B. Placing the bedside table 0.9 m away is unrelated to fall prevention.
C. A night light can help the client see better in the dark and avoid tripping or falling over objects.
D. Maintaining the room temperature is important for comfort but doesn't directly prevent falls.

A. Turn the client onto their side. B. Help the client lie on the floor. C. Loosen the client's clothing. D. Move items in the room away from the client.

Correct Answer is B

Explanation

A. Turning the client onto their side helps prevent aspiration and ensures a clear airway but since the client is seated on a chair, they run the risk of getting a fall hence lying them down is the priority.
B. If a client has a seizure when seated, it is best to ensure their safety by lying them on the floor and moving any objects that can cuase injury.
C. Loosening clothing is important but not the priority over ensuring a clear airway.
D. Moving items away from the client is important to prevent injury, but ensuring airway safety comes first.

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A nurse is caring for a client who has pneumonia Exhibits The nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

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A nurse is caring for a client who has pneumonia

Exhibits

The nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.