The nurse is teaching a patient recently diagnosed with coccidioidomycosis. Which patient statement indicates a need for further teaching? (Select All that Apply.)

it's important to monitor for symptoms like fever and fatigue and report them to my doctor.

I should expect my symptoms to resolve within a week without treatment.

I can stop my medication once i start feeling better.

It's important to rest and maintain a healthy diet to support my recovery.

I need to take antifungal medications as prescribed by my healthcare provider.

Answer and Explanation

Correct Answer : B,C

Rationale:
A. Monitoring and reporting symptoms such as fever, fatigue, or worsening respiratory distress is important in managing coccidioidomycosis.
B. Symptoms of coccidioidomycosis (Valley Fever) do not typically resolve within a week without treatment; some cases require prolonged therapy.
C. Stopping antifungal medication early increases the risk of relapse and resistance; treatment must be completed as prescribed.
D. Rest and proper nutrition help support the immune system during recovery.
E. Adherence to antifungal medications (e.g., fluconazole) is essential for effective treatment.

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Correct Answer is B

Explanation

Rationale:
A. Teaching a client how to measure oxygen saturation is within the nurse’s scope, not the occupational therapist’s.
B. An occupational therapist helps clients adapt daily activities (e.g., using kitchen tools, conserving energy while preparing meals, modifying the home environment) — this is the correct referral.
C. Pursed-lip breathing is a respiratory intervention taught by nurses or respiratory therapists, not occupational therapists.
D. Diet planning is typically managed by a dietitian, not an occupational therapist.

A. Increase fluid intake. B. Administer oxygen therapy. C. Administer sodium bicarbonate. D. Prepare the client for mechanical ventilation.

Correct Answer is B

Explanation

Rationale:
A. Increasing fluid intake does not address the immediate problem of impaired oxygenation.
B. The ABG shows respiratory alkalosis (pH 7.49, PaCO₂ 30) with hypoxemia (PaO₂ 60). The priority intervention is to administer oxygen therapy to correct hypoxemia caused by the pulmonary embolus.
C. Sodium bicarbonate is used for metabolic acidosis, not respiratory alkalosis.
D. Mechanical ventilation may be required if oxygen therapy fails, but it is not the first action.

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The nurse is teaching a patient recently diagnosed with coccidioidomycosis. Which patient statement indicates a need for further teaching? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collaborating on care for a client who has COPD. Which of the following tasks should the nurse recommend be referred to an occupational therapist for assistance?

Correct Answer is B

Explanation

A client with a pulmonary embolus has the following arterial blood gas (ABG) values: pH. 7.49: partial pressure of arterial oxygen (PaO2), 60 mm Hg partial pressure of arterial carbon dioxide (PaCO2), 30 mm Hg: bicarbonate (HCO3-1 25 mEq/L. What should the nurse do first?

Correct Answer is B

Explanation

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