Medical-Surgical Nursing

A nurse completes discharge instructions for a patient who was admitted five days ago with pneumonia.

Which of the following statements by the patient would alert the nurse that more discharge teaching is needed?

  1. A I need to gradually increase my actives
  2. B I need to have another chest X-ray in 4-6 weeks
  3. C I will not need the infuenza or pneumonia vaccine Correct answer
  4. D I may experience fatigue and weakness for a prolonged time

Explanation

Core Concept: Patients recovering from pneumonia are at high risk for recurrent respiratory infections. Vaccinations (influenza and pneumococcal) are critical preventive measures to avoid future hospitalizations.

Clinical Presentation:

  • Cough, fever, dyspnea, pleuritic chest pain, fatigue

Diagnosis:

  • *First-line:* Chest X-ray and clinical assessment.
  • *Gold Standard:* Sputum culture and sensitivity.

Management:

  • *Acute:* Antibiotics, hydration, and respiratory support during the acute phase.
  • *Definitive:* Patient education on completing the antibiotic course, gradual return to activity, and receiving influenza and pneumococcal vaccines to prevent recurrence.

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