A nurse is assisting discharge planning for a client who has a new prescription for bi-level positive airway pressure (BIPAP). The nurse should plan to contact which of the following healthcare team members to educate the client?
Case manager
Occupational therapist
Physical therapist
Respiratory therapist
The Correct Answer is D
A. Case manager: A case manager can help coordinate care but is not responsible for the specific education on BiPAP use.
B. Occupational therapist: Occupational therapists focus on daily living activities, not respiratory therapy.
C. Physical therapist: Physical therapists work on mobility and musculoskeletal issues, not respiratory support or BiPAP education.
D. Respiratory therapist: A respiratory therapist is responsible for providing education on the use of BiPAP, as they are specialists in respiratory equipment and therapy. They ensure that the client knows how to use the machine properly at home.
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Correct Answer is C
Explanation
A. "It's okay for my child to have plenty of ice cream.": Cold, soft foods like ice cream are typically allowed, but dairy products like ice cream may increase mucus production, which could irritate the throat.
B. “I’ll help my child gargle with salt water a few times a day.": Gargling is contraindicated after a tonsillectomy as it can irritate the surgical site and potentially cause bleeding.
C. "I'll call the doctor if my child is swallowing continuously." Continuous swallowing can be a sign of bleeding after a tonsillectomy, which is a medical emergency. It is important for parents to recognize this as an early sign of hemorrhage.
D. "It's okay for my child to ride his bike in a few days.": Strenuous activities, including riding a bike, should be avoided for at least 1-2 weeks to reduce the risk of bleeding.
Correct Answer is A
Explanation
A. Encourage the client to cough and deep breathe. Encouraging the client to cough and deep breathe promotes the clearance of secretions and improves lung expansion, which is critical in treating pneumonia.
B. Encourage the client to increase oral fluids: This helps to thin secretions, but encouraging deep breathing and coughing is more immediate and effective for clearing secretions.
C. Provide chest percussion on the client: Chest percussion helps mobilize secretions but is not the priority before ensuring the client is actively coughing and deep breathing.
D. Obtain the client’s temperature: While monitoring vital signs is important, clearing secretions is the priority for improving respiratory status in pneumonia.