Which of the following is the most important nursing intervention for a patient with pneumonia experiencing difficulty breathing?
Administer antibiotics as scheduled.
Perform chest physiotherapy every two hours.
Encourage the patient to drink more fluids.
Administer supplemental oxygen as prescribed.
The Correct Answer is D
Rationale:
A. Administering antibiotics is essential for treating the infection, but it does not provide immediate relief from hypoxia or respiratory distress.
B. Chest physiotherapy can help mobilize secretions, but it is supportive and not the priority when the patient is experiencing acute breathing difficulty.
C. Encouraging fluid intake helps thin secretions but does not address immediate oxygenation needs.
D. Administering supplemental oxygen is the priority intervention because it directly improves oxygenation and alleviates hypoxemia, which is critical in a patient with pneumonia experiencing difficulty breathing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Lethargy is a common manifestation of pulmonary tuberculosis due to chronic infection and fatigue.
B. Dry cough is incorrect; TB typically presents with a productive cough, which may eventually contain blood (hemoptysis).
C. High-grade fever is uncommon; TB usually causes a low-grade fever, particularly in the afternoon or evening.
D. Weight gain is incorrect; clients with TB typically experience weight loss due to prolonged illness and decreased appetite.
Correct Answer is D
Explanation
Rationale:
A. Isosorbide dinitrate is a nitrate used to reduce preload and manage heart failure symptoms; it is safe for clients with asthma.
B. Fluticasone is an inhaled corticosteroid used to manage asthma and does not worsen heart failure.
C. Captopril is an ACE inhibitor that treats heart failure and is safe for clients with asthma.
D. Carvedilol is a non-selective beta-blocker. Non-selective beta-blockers can exacerbate asthma by causing bronchoconstriction. In clients with asthma, beta-blocker therapy should be clarified, and cardioselective options are generally preferred.
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