A nurse needs to begin discharge planning for a patient admitted with pneumonia and a congested cough. When is the best time the nurse should start discharge planning for this patient?
Upon admission
Right before discharge
After the congestion is treated
When the primary care provider writes the order
The Correct Answer is A
Choice A reason: Discharge planning upon admission ensures a comprehensive care plan, addressing pneumonia’s impact on oxygenation and energy levels. Early planning identifies home care needs, like oxygen therapy or follow-up, reducing readmission risk. Pneumonia, caused by bacterial or viral infection, impairs gas exchange, and early coordination ensures continuity of care for optimal recovery post-discharge.
Choice B reason: Starting discharge planning right before discharge is too late, as it limits time to arrange resources like home care or education. Pneumonia recovery requires managing infection and oxygenation, which benefits from early planning. Delayed planning risks gaps in care, increasing complications like relapse or inadequate support for respiratory function post-hospitalization.
Choice C reason: Waiting until congestion is treated delays discharge planning, missing opportunities to prepare for post-hospital needs. Pneumonia’s inflammatory response impairs alveolar gas exchange, requiring ongoing management. Early planning ensures patients receive education and resources, like inhalers, to maintain respiratory function, reducing readmission risk compared to waiting for symptom resolution.
Choice D reason: Waiting for the provider’s order delays discharge planning, reducing time for patient education or resource coordination. Pneumonia recovery involves managing infection and supporting oxygenation, which benefits from early planning. Provider orders may guide specifics, but initiating planning upon admission ensures proactive care, addressing respiratory and functional needs for a smooth transition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The carotid pulse is used for unresponsive, non-breathing patients, as it is the most reliable central pulse, reflecting cardiac output during cardiac arrest. Its accessibility and strength make it ideal for rapid assessment, guiding CPR initiation, per ACLS and emergency assessment protocols.
Choice B reason: The apical pulse, assessed via auscultation, is impractical for an unresponsive, non-breathing patient, requiring time and equipment. In emergencies, the carotid pulse is faster and more reliable to confirm pulselessness, ensuring timely CPR, per cardiac arrest management guidelines.
Choice C reason: The radial pulse is peripheral and less reliable in cardiac arrest, as it may be absent due to poor perfusion. The carotid pulse better reflects central circulation, critical for assessing unresponsiveness and apnea, guiding immediate resuscitation efforts, per emergency care standards.
Choice D reason: The brachial pulse is used in infants or for blood pressure but is less accessible than the carotid in adults during arrest. The carotid provides a quick, reliable pulse check, ensuring rapid initiation of life-saving measures, per ACLS and pulse assessment protocols.
Correct Answer is A
Explanation
Choice A reason: Promoting positive nitrogen balance is critical for postsurgical wound healing, as it indicates adequate protein intake for tissue repair. Surgery increases metabolic demand, depleting amino acids needed for collagen synthesis and immune function. Positive balance supports fibroblast activity and wound tensile strength, reducing infection risk and promoting recovery in the healing process.
Choice B reason: Neutral nitrogen balance maintains protein homeostasis but is insufficient for postsurgical patients, who require excess protein for tissue repair. Surgery induces catabolism, increasing nitrogen loss via urine. Neutral balance does not provide the surplus amino acids needed for collagen formation and immune response, slowing wound healing and increasing complication risks.
Choice C reason: Reducing dependent nitrogen balance is not a recognized medical goal. Nitrogen balance reflects protein metabolism, critical for wound healing. Postsurgical patients need positive balance to supply amino acids for tissue regeneration. This option is vague and irrelevant, as it does not address the physiological need for increased protein synthesis post-surgery.
Choice D reason: Maintaining negative nitrogen balance indicates protein catabolism exceeding synthesis, detrimental to wound healing. Postsurgical stress increases cortisol, promoting protein breakdown. Negative balance impairs collagen production and immune function, delaying wound closure and increasing infection risk. Positive nitrogen balance is essential to support tissue repair and recovery in surgical patients.
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