A 69-year-old client has been diagnosed with aspiration pneumonia after suffering from a chronic illness. The nurse is teaching the client about how to best perform exercises for pulmonary hygiene. Which of the following should the nurse include as part of teaching?
The nurse knows that which of the following are risk factors for hospital-acquired pneumonia? Select all that apply.
A nurse checks a client’s oxygen saturation by using a bedside sensory probe. The client has pneumonia that is currently being treated with antibiotics. When the nurse places the pulse oximeter probe on the client, the first reading she notes is 89 percent. Which of the following actions should the nurse perform first?
The nurse is caring for a client admitted with pneumonia. The nurse notices the client is diaphoretic. After reviewing the client’s vital signs, what should the nurse do next?
The nurse is caring for a client whose chest x-ray shows pneumonia. The provider has placed the following orders: vancomycin IV, piperacillin/tazobactam IV, blood and sputum cultures, vitals now and every 4 hours. Which order needs to be completed first?
A nurse has orders to insert a nasogastric feeding tube for a client to receive enteral feedings. Which intervention from the nurse would most likely prevent aspiration in this client?
A nurse is caring for a client who is admitted for pneumonia and sepsis. The nurse is reviewing orders and knows to implement which of the following prior to hanging antibiotics?
A nurse is caring for a 68-year-old client who is at increased risk of pneumonia and respiratory illnesses due to limited mobility and poor overall health. In addition to these factors, which of the following would most likely contribute to development of pneumonia or respiratory illness in the older adult?
The nurse is admitting a client with pneumonia. The client’s ABCs are intact. Which is the priority for this client?
The nurse is caring for a client who was admitted with pneumonia 2 weeks ago. The client had been intubated and sedated for the first 48 hours. The client has a Foley catheter and a central venous catheter with fluids running at 75 ml/hr and intermittent IV antibiotics. The client also began working with PT/OT and gets up to the chair for meals. With which of the following is the nurse most concerned?
