Author Question: The nurse has assisted with providing discharge instructions for a client diagnosed with pneumonia. ... (Read 33 times)

WWatsford · **on:** Jul 22, 2018

The nurse has assisted with providing discharge instructions for a client diagnosed with pneumonia. Which of the following statements made by the client would suggest that further instruction is needed?

1. I will get the pneumococcal vaccine every fall..
2. I will get the pneumococcal vaccine as soon as I recover from this pneumonia..
3. I will get the influenza vaccine every year..
4. I can't get the influenza vaccine due to my allergy to eggs..

Question 2

A nurse is writing a care plan for a client hospitalized with pneumonia. The priority nursing diagnosis is ineffective airway clearance. Which intervention should the nurse include in the plan of care?

1. Administer the pneumococcal vaccine
2. Provide smoking cessation education
3. Limit fluid intake
4. Perform chest percussion

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

Answer to Question 1

1. I will get the pneumococcal vaccine every fall..

Rationale:
The pneumococcal vaccine is administered once. Revaccination is only recommended in persons with renal failure, those who have had splenectomies, those with malignancies, and those with HIV/AIDS. Influenza vaccine is administered annually to healthy individuals and should not be given to those with an allergy to eggs.

Answer to Question 2

4. Perform chest percussion

Rationale:
Chest percussion can help clear secretions. Providing education for smoking cessation and administering the pneumococcal vaccine are important in treating a client with pneumonia; however, they would be aligned with a different nursing diagnosis. Clients with pneumonia are encouraged to increase fluid intake.