Question

Client reports a sore throat, productive cough, shortness of breath, and fever for the past 4 days

Client has swollen lymph nodes of the neck upon palpation.
Client reports chills and coughs up yellow- colored mucus.
Client's face is flushed and diaphoretic.States lack of appetite.
Chest x-ray obtained and positive for pneumonia."

The nurse is reviewing the client's medical record. Which of the following actions should the nurse take?
Select all that apply.
a. Place the client on droplet isolation precautions.
b. Apply oxygen at 2 U/min via nasal cannula.
c. Request a prescription for an antipyretic medication.
d. Wear an N-95 mask when providing care to the client.
e. Request a prescription for an antihypertensive medication.
f. Remain 1 m (3 feet) from the client..

Answer 1

The nurse should place the client on droplet isolation precautions, request a prescription for an antipyretic medication, and wear an N-95 mask when providing care to the client.

Step-by-step explanation:

Based on the client's symptoms and the positive chest x-ray for pneumonia, the nurse should take the following actions:

• Place the client on droplet isolation precautions: Since pneumonia is caused by bacteria and can be transmitted through respiratory droplets, it is important to implement droplet precautions to prevent the spread of the infection.
• Request a prescription for an antipyretic medication: Antipyretic medications, such as acetaminophen, can help reduce the client's fever and improve comfort.
• Wear an N-95 mask when providing care to the client: Wearing an N-95 mask can protect the nurse from inhaling respiratory droplets and reduce the risk of contracting the infection.