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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
A 36-year-old male who had a minimally invasive appendectomy and a history of community-acquired pneumonia a year ago is at relatively low risk for postoperative respiratory complications. Minimally invasive surgeries typically have fewer complications, and a past episode of pneumonia does not significantly increase the risk unless there are ongoing respiratory issues.
Choice B reason:
A 58-year-old female with type 1 diabetes who had an incision and drainage of an abscess with procedural sedation has some risk factors for complications, such as diabetes, which can impair healing and immune response. However, the procedure was minor and performed under sedation, which poses less risk compared to general anesthesia.
Choice C reason:
A 19-year-old male undergoing arthroscopic knee surgery under regional anesthesia with a history of exercise-induced asthma has a low risk of respiratory complications. Regional anesthesia does not affect the respiratory system as much as general anesthesia, and exercise-induced asthma is generally well-controlled and less likely to cause complications in this context.
Choice D reason:
A 65-year-old female with a BMI of 32 and a long history of tobacco use who underwent upper abdominal surgery under general anesthesia is at the greatest risk for respiratory complications. Factors such as advanced age, obesity, smoking history, and the type of surgery (upper abdominal) significantly increase the risk of postoperative pulmonary complications. General anesthesia further exacerbates this risk due to its effects on respiratory function.
Correct Answer is D
Explanation
Choice A reason: Weighing the patient prior to the procedure is a standard practice and ensures accurate dosing of medications and anesthesia. However, it does not address the immediate concern of the patient being underweight, which could impact their surgical and recovery outcomes.
Choice B reason: Using extra padding on bony prominences is important for preventing pressure ulcers, especially in underweight patients who have less natural padding. While this is a necessary precaution, it does not directly address the underlying issue of the patient’s nutritional status.
Choice C reason: Using extra safety straps can help secure the patient during surgery, but it does not address the nutritional concerns that could affect the patient’s recovery and overall health.
Choice D reason: Notifying the surgeon is crucial because the patient’s underweight status could significantly impact their surgical risk and recovery. The surgeon needs to be aware of this to make any necessary adjustments to the surgical plan or to involve a nutritionist or other specialists to address the patient’s nutritional needs before and after surgery.
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