Page 1564 - Saunders Comprehensive Review For NCLEX-RN

Introduction

Pyramid to Success

The Pyramid to Success focuses on infectious diseases, particularly tuberculosis, and
respiratory care in relation to respiratory problems. Pyramid Points focus on the
client with pneumonia, respiratory failure, chronic obstructive pulmonary disease,
pneumothorax, influenza, and tuberculosis. The Pyramid to Success includes the
care of the client with tuberculosis, especially regarding the importance of the
medication regimen, providing adequate nutrition and adequate rest to promote the
healing process, and prevention of transmission and progression of the disease.
Focus on assisting the client to cope with the social isolation issues that exist during
the period of illness and on teaching the client and family the critical measures of
screening, preventing respiratory disease, and the transmission of infectious
airborne disease. Another important area to consider is caring for a client with an
acute pulmonary process such as pulmonary embolism.

Client Needs: Learning Objectives

Safe and Effective Care Environment

Collaborating with the interprofessional team in the management of the
respiratory problem
Discussing consultations and referrals related to the respiratory problem
Ensuring that informed consent related to invasive procedures has been
obtained
Establishing priorities
Handling infectious materials such as sputum or body fluids safely
Maintaining confidentiality related to the respiratory disorder
Maintaining respiratory precautions, standard precautions, and other
precautions

Health Promotion and Maintenance

Educating the client about adequate fluid and nutritional intake
Educating the client about breathing exercises and respiratory therapy and care
Educating the client about medication administration
Educating the client about the need for follow-up care
Educating the client about the prevention of transmission of infection

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