Which instructions should the nurse include when providing discharge teaching to a patient recovering from acute respiratory distress syndrome (ARDS)? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "You should avoid smoking and air pollution.".
2. "Lifestyle modifications to decrease oxygen demands will be necessary.".
3. "It is important for you to restrict fluid intake to avoid congestive failure.".
4. "You and your family should get annual influenza immunizations.".
5. "You must avoid large gatherings of people.".
1,2,4
Rationale 1: Pollution and smoke can further damage already traumatized lung tissue and therefore should be avoided.
Rationale 2: The patient will need to make lifestyle modifications to conserve energy and oxygen demands because lung tissues are still recovering from the damage of the disease processes. Exertional dyspnea will continue to increase if additional demands are made on the pulmonary and cardiovascular systems, which have been impacted by the damage from ARDS. Role changes, increased rest, and decreased activities are needed.
Rationale 3: Fluid restriction is not indicated in most cases.
Rationale 4: Immunizations (for pneumonia and flu) are encouraged to minimize additional insults to lung tissue, as the lung tissue will require up to 6 months to recover.
Rationale 5: These patients are not necessarily immunocompromised. This advice would be provided on a case-by-case basis.
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The nurse working on a pediatric unit bends to pick up an 8-month-old infant. The infant begins to cry, and rolls away from the nurse. The nurse interprets the infant's behavior as:
1. An indication of possible abuse requiring further assessment. 2. A common response of babies requiring frequent hospitalization. 3. Normal behavior for an infant of this age. 4. Failure of the infant to develop a sense of trust.
The nurse plans a presentation for community members about how to decrease the risk for antibiotic-resistant infections. Which information will the nurse include in the teaching plan (select all that apply)?
a. Continue taking antibiotics until all the medication is gone. b. Antibiotics may sometimes be prescribed to prevent infection. c. Unused antibiotics that are more than a year old should be discarded. d. Antibiotics are effective in treating influenza associated with high fevers. e. Hand washing is effective in preventing many viral and bacterial infections.
The nurse is reviewing sources of federal funding for health care services provided to clients. For which clients should the nurse recognize as most likely having health care paid through a federal funding source?
1. 35-year-old self-employed house painter 2. 72-year-old retired schoolteacher 3. 52-year-old nurse who runs the family farm 4. 29-year-old mentally challenged sheltered workshop employee 5. 40-year-old factory worker
A psychiatric nurse is teaching a patient about an antidepressant medication. The nurse tells the patient that therapeutic effects may not occur for several weeks. The nurse understands that this is likely the result of:
a. changes in the brain as a result of prolonged drug exposure. b. direct actions of the drug on specific synaptic functions in the brain. c. slowed drug absorption across the blood-brain barrier. d. tolerance to exposure to the drug over time.