The nurse is preparing the client for discharge.

Exhibits

For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.

A. Preschoolers have short attention spans, so a 30-minute instructional session may not be effective and may overwhelm the child.
B. Scheduling the instructional session for 24 to 36 hours before the procedure may not be appropriate for a preschooler, as they may not retain the information for that length of time.
C. Taking the child on a tour of the surgery and recovery areas may be overwhelming and frightening for a preschooler, potentially increasing anxiety about the procedure.
D. Helping the child put a dressing on a doll is a developmentally appropriate technique for preparing a preschooler for a procedure. It allows the child to engage in hands-on learning and role-playing, helping them understand what will happen during the procedure and providing an opportunity to express any fears or concerns.

A. Hemoglobin (Hgb) level of 20 g/dL is significantly elevated and could indicate polycythemia, which is a common complication of COPD. Polycythemia can lead to increased blood viscosity and thrombotic events, such as stroke or myocardial infarction. Therefore, this finding requires immediate attention and further evaluation.
B. Oxygen saturation of 925% is not physiologically possible and is likely an erroneous reading. However, this extreme value is unlikely to represent a clinically significant issue. It may be a result of equipment malfunction or improper calibration.
C. A productive cough with green sputum is a common symptom in patients with COPD, often indicative of a respiratory infection. While it warrants monitoring and may require treatment, it is not as immediately concerning as other findings.
D. Chest x-ray showing hyperinflation of the lungs is a characteristic finding in COPD and is expected in patients with this condition. While it confirms the diagnosis and may indicate disease severity, it does not represent an acute change that requires immediate intervention.