Case Study (Pneumonia-Adult)

Exhibits

Which intervention is most appropriate to improve the patient's oxygenation?

A. Physical therapy for homebound therapy services:Physical therapy is not routinely indicated in TB management unless the patient has specific mobility deficits. TB treatment focuses more on medication adherence and infection control rather than physical rehabilitation.

B. Occupational therapy for job retraining:There is no direct indication for job retraining in a TB patient unless the illness has caused long-term disability or affected occupational function, which is not suggested in this scenario.

C. Community social worker for Meals on Wheels:Meals on Wheels may assist with nutrition, but it is not specific to TB care. Social services do not directly ensure adherence to TB therapy, which is crucial for treatment success and public health safety.

D. Visiting Nurses for directly observed therapy:Directly observed therapy (DOT) ensures the client takes prescribed TB medications under supervision, which is essential to prevent noncompliance, reduce drug resistance, and promote cure. Visiting nurses are best positioned to provide this support during long-term outpatient TB treatment.

A. "It will reduce the frequency of your cough. Antitussives suppress the cough reflex and may reduce how often the patient coughs. However, this answer is vague and does not address the patient's concern and doesn't provide specific guidance on usage.

B. "It should be used in the morning." Antitussives are not recommended for use in the morning unless the cough is disruptive to daytime function. Taking them in the morning could lead to daytime drowsiness, if the medication contains sedating agents like codeine.

C. "It should be taken before sleep." This is the best response because antitussives are often most beneficial at night when coughing can disrupt sleep. Administering them before bed helps reduce nocturnal coughing and supports rest, which is essential for recovery.

D. "It will eliminate your cough at night." While antitussives may greatly reduce coughing, they do not guarantee total elimination of the cough. This statement creates unrealistic expectations and may mislead the patient regarding the effectiveness of the medication.