The nurse is reviewing the results of the patient's diagnostic tests. Using the information provided as a reference, determine which physician order the nurse should question based on the patient's most likely diagnosis
1. fluid restriction of 1500 mL per 24 hours
2. administer acetylcysteine (Mucomyst)
3. perform endotracheal suctioning as needed
4. administer azithromycin
Correct Answer: 1
After reviewing the patient's laboratory test results, the nurse would accurately determine that the patient has developed pneumonia. It is expected that the nurse would encourage the patient to increase fluid intake to 2500?3000 mL per day because this will help liquefy the secretions in the lungs. This will make it easier to cough the secretions up and expectorate them. The nurse would not expect the physician to write an order for a fluid restriction. The patient may require the administration of acetylcysteine to help break up the patient's thick secretions to make them easier to expectorate. Endotracheal suctioning may be required if the patient's cough is ineffective. Azithromycin is a macrolide, which is a broad-spectrum antibiotic that is often effective against pneumonia.
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