Case Study (Pneumonia-Adult)
Which intervention is most appropriate to improve the patient's oxygenation?
Administer IV antibiotics
Encourage oral fluids
Apply nasal cannula oxygen @ 2L/min via nasal cannula
Monitor blood glucose levels
The Correct Answer is C
A. Administer IV antibiotics: Antibiotics are essential for treating the underlying infection, but their effect on improving oxygenation is not immediate. While they target the pneumonia-causing pathogen, they do not directly support respiratory function in the acute phase.
B. Encourage oral fluids: Hydration helps thin secretions and supports overall recovery, but oral fluids alone will not rapidly improve oxygen saturation in a patient with hypoxemia. This intervention is supportive but not the most urgent or direct for addressing oxygenation.
C. Apply nasal cannula oxygen @ 2L/min via nasal cannula: With an oxygen saturation of 89%, immediate oxygen supplementation is necessary to improve tissue oxygenation and prevent hypoxia-related complications. Administering oxygen by nasal cannula is the most appropriate and timely action to increase oxygen delivery.
D. Monitor blood glucose levels: Blood glucose monitoring is important, especially in a diabetic patient with infection, but it does not address the respiratory compromise. It is a priority for metabolic management, not for improving oxygenation directly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Remove the client's O₂ mask:Removing supplemental oxygen is unsafe and may worsen hypoxia. Even though oxygen must be carefully titrated in COPD, abrupt removal is never appropriate without medical direction, especially when the client is already hypoxemic.
B. Notify the physician:The ABG shows respiratory acidosis (low pH, elevated pCO₂) with insufficient compensation and potential respiratory failure. Immediate provider notification is warranted to adjust oxygen delivery, initiate or escalate respiratory support, or evaluate for further interventions.
C. Have the client breathe into a paper bag:Paper bag breathing is used for respiratory alkalosis caused by hyperventilation, not for respiratory acidosis. This action would further elevate CO₂ and worsen the client's acid-base status.
D. Place the patient in left side-lying position:Side-lying positioning does not address the critical issue of respiratory acidosis. Instead, placing the client in high Fowler’s position might help improve ventilation, but first the provider must be notified to address the urgent ABG findings.
Correct Answer is ["3"]
Explanation
Children with the common cold are generally most contagious during the early stages of the illness typically within the first 2 to 3 daysafter symptoms appear. This is when viral shedding is at its peak, even if the child’s symptoms are mild. Hand hygiene, covering coughs, and limiting contact with others during the early days are essential to prevent spread.
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