Pneumonia

Moxifloxacin is prescribed for the client with a diagnosis of community-acquired pneumonia. The client needs to take the medication for 10 days, and the nurse reinforces instructions to the client about the medication. Which statement by the client best indicates an understanding of the medication instructions?

"I need to wear sunscreen and protective clothing when outdoors."

The nurse is assisting in the care of a client with sepsis as a result of bacterial pneumonia for signs of systemic inflammatory response syndrome (SIRS). Which signs are indicative of this complication? Select all that apply.

- Altered mental status - Development of severe hypotension - Development of acute respiratory distress syndrome (ARDS)

The nurse is caring for a client with pneumonia who is to receive oxygen via nasal cannula at 2L. To provide a safe delivery of the oxygen the nurse would avoid which actions? Select all that apply.

- Securing the oxygen tubing to the client's bottom sheet - Positioning the nasal prongs in the nares and adjusting the plastic slide on the cannula so that the cannula fits as tight as possible

The nurse is reinforcing instructions to a client with pneumonia about the use of an incentive spirometer in the postoperative period. The nurse would include which information in discussions with the client? Select all that apply.

- Use the incentive spirometer for 5 to 10 breaths every hour while awake. - The best results are achieved when sitting at least halfway or fully upright.

Arterial blood gases (ABGs) are obtained on a client with pneumonia. The ABG results are pH, 7.50; Pco2, 30 mm Hg; HCO3-, 20 mEq/L; and Po2, 75 mm Hg. The nurse interprets these results and determines that which acid-base condition exists?

Arterial blood gases (ABGs) are obtained on a client with pneumonia. The ABG results are pH, 7.50; Pco2, 30 mm Hg; HCO3-, 20 mEq/L; and Po2, 75 mm Hg. The nurse interprets these results and determines that which acid-base condition exists?

A client with pneumonia is experiencing problems with ventilation as a result of accumulated respiratory secretions. The nurse determines that which data accurately indicate effectiveness of the treatments prescribed for this problem?

Arterial blood gases indicate a pH of 7.4, Po2 of 80 mm Hg, and Pco2 of 40 mm Hg.

A client is diagnosed with Haemophilus influenzae pneumonia. In addition to standard precautions, which other precautions would be instituted immediately by the nurse?

Droplet precautions

The nurse is assisting in caring for a client with pneumonia who suddenly becomes restless. Arterial blood gases are drawn, and the results reveal a Pao2 of 60 mm Hg. The nurse reviews the plan of care for the client and determines that which priority problem potentially exists for this client?

Ineffective gas exchange

A client with pneumonia is admitted to the hospital, and the primary health care provider writes prescriptions for the client. Which prescription would the nurse complete first?

Obtain a culture and sensitivity of sputum.