Author Question: The nurse teaches the client being discharged to home with a prescription for a daily dose of ... (Read 42 times)

go.lag · **on:** Jul 22, 2018

The nurse teaches the client being discharged to home with a prescription for a daily dose of prednisone to take the medication:

1. In the early morning
2. In the middle of the day
3. An hour before bedtime
4. Anytime of the day

Question 2

A child hospitalized with pertussis is in the convalescent stage, and the nurse is preparing the child for discharge. The nurse has provided instructions to the parents for home care of the child.

Which of the following statements, if made by a parent, indicates a need for further education? 1. It is important that my child drinks plenty of fluids.
2. We need to try to maintain a quiet environment to prevent episodes of coughing spells.
3. We need to teach the other members of the family how to use good hand wash-ing techniques to prevent the spread of infection.
4. I need to make sure that the child is isolated from the other children for at least 2 weeks to prevent the spread of the virus to them.

jaykayy05 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: The client should be instructed to take glucocorticoids (corticosteroids) before 9 AM. This helps minimize adrenal insufficiency and also mimics the burst of glucocorticoids released naturally by the adrenal glands each morning. Therefore in the middle of the day, an hour before bedtime, and anytime of the day are incorrect.

Answer to Question 2

4

Rationale: Pertussis is transmitted by direct contact or respiratory droplets from coughing. The infectious period occurs during the catarrhal stage (from the first to second week until the fourth week). Respiratory isolation is not required during the convalescent stage.