The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)

Avoid crowds during the cold and flu season.

Increase activities to previous level as soon as you get home.

Report temperature elevations to the healthcare provider.

Finish taking oral antibiotics as prescribed.

Electronic cigarettes are an alternative to tobacco while trying to quit.

Answer and Explanation

Correct Answer : A,C,D

Choice A reason:

Avoiding crowds during the cold and flu season is crucial for a client recovering from pneumonia. Pneumonia weakens the lungs and the immune system, making the client more susceptible to infections. Crowded places increase the risk of exposure to respiratory infections, which can complicate recovery. According to UpToDate, patients with pneumonia should avoid exposure to infectious agents to prevent further complications.

Choice B reason:

Increasing activities to the previous level as soon as you get home is not advisable. Clients recovering from pneumonia need to gradually return to their normal activities. Overexertion can lead to fatigue and delay recovery. The Mount Sinai Health Library advises patients to rest and gradually increase activity levels as they regain strength.

Choice C reason:

Reporting temperature elevations to the healthcare provider is essential. Fever can be a sign of an ongoing infection or a complication. Normal body temperature ranges from 97°F to 99°F (36.1°C to 37.2°C). Any elevation above this range should be reported to ensure timely intervention.

Choice D reason:

Finishing taking oral antibiotics as prescribed is critical to ensure the infection is fully treated and to prevent antibiotic resistance. Incomplete antibiotic courses can lead to a resurgence of the infection and contribute to the development of resistant bacteria.

Choice E reason:

Electronic cigarettes are not a recommended alternative to tobacco while trying to quit. The safety and efficacy of e-cigarettes as a smoking cessation tool are still under investigation. The American Lung Association advises against using e-cigarettes due to potential health risks.

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Correct Answer is C

Explanation

Choice A reason: Avoiding more time-outs in the OR is not the primary purpose of pre-operative teaching. Time-outs are a safety protocol used in the operating room to ensure that the correct procedure is being performed on the correct patient. While pre-operative teaching can contribute to overall surgical safety, its main goal is not to reduce the number of time-outs.

Choice B reason: Understanding the informed consent is an important aspect of pre-operative teaching, but it is not the primary purpose. Informed consent ensures that the patient is aware of the risks, benefits, and alternatives to the procedure. Pre-operative teaching encompasses a broader range of information, including what to expect before, during, and after surgery.

Choice C reason: Achieving better post-operative outcomes is the primary purpose of pre-operative teaching. Educating patients about their surgery, recovery process, and self-care can significantly improve their post-operative outcomes. This includes reducing anxiety, pain, and complications, as well as shortening hospital stays and enhancing overall recovery. Pre-operative education empowers patients to take an active role in their recovery, leading to better health outcomes.

Choice D reason: Reinforcing that collaborative care is essential is a component of pre-operative teaching, but it is not the primary purpose. Collaborative care involves the coordination of various healthcare professionals to provide comprehensive care to the patient. While pre-operative teaching can highlight the importance of teamwork, its main focus is on preparing the patient for surgery and recovery.

A. Apply an iodine-soaked sterile dressing. B. Irrigate the wound and apply a dry sterile dressing. C. Apply a dressing and notify the surgeon. D. Apply a sterile dressing soaked with normal saline.

Correct Answer is D

Explanation

Choice A Reason:

Applying an iodine-soaked sterile dressing is not the best initial action. Iodine can be irritating to exposed tissues and may not provide the necessary moisture to protect the underlying tissue. The primary goal is to keep the tissue moist and prevent further damage.

Choice B Reason:

Irrigating the wound and applying a dry sterile dressing is not appropriate in this situation. Irrigation might cause further damage to the exposed tissue, and a dry dressing will not keep the tissue moist, which is crucial for preventing desiccation and promoting healing.

Choice C Reason:

Applying a dressing and notifying the surgeon is important, but the type of dressing is crucial. A dry dressing or an inappropriate dressing material can harm the exposed tissue. The nurse should first apply a moist dressing to protect the tissue and then notify the surgeon.

Choice D Reason:

Applying a sterile dressing soaked with normal saline is the most appropriate initial action. This type of dressing keeps the exposed tissue moist, which is essential for preventing further damage and promoting healing. Normal saline is gentle and will not irritate the tissue, making it the best choice for initial wound care.

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The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The purpose of the nurse providing pre-operative teaching to clients undergoing surgery is to:

Correct Answer is C

Explanation

The nurse is changing a client’s abdominal dressing and notes a separation of the incision line. The underlying tissue is protruding from the wound. The nurse should plan to do which of the following in the initial care of this wound?

Correct Answer is D

Explanation

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