The nurse is caring for a client admitted with minor burns and elevated body temperature after being in a house fire. What should be included in this client's plan of care?

Select all that apply.
A) Providing blankets
B) Keeping the room temperature warm
C) Restricting fluids
D) Encouraging fluids
E) Lowering room temperature


Answer: D, E

The client with an elevated body temperature should be encouraged to ingest fluids or should be provided with IV fluids. The increase in body temperature could be due to dehydration. Another intervention to help the client with an elevated temperature is to lower the room temperature. The client's fluids should not be restricted. Blankets and providing a warm room would be applicable if the client had a low body temperature.

Nursing

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The manager is reviewing informatics competencies for each level of staff nurse. Which statement indicates the appropriate level of informatics competencies to the correct nurse?

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The nurse is reviewing the functions of the kidney with a client. Which of the following are functions of the kidneys?

1 . Waste removal 2 . Regulation of electrolytes by excretion and reabsorption 3 . Conversion of vitamin B12 to a useful form 4 . Maintenance of acid base, and fluid and electrolyte balance A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4

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When performing the Heimlich maneuver, your hands should be placed

A. on the diaphragm. B. immediately below the ribcage. C. slightly above the navel. D. on the lower abdomen.

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The nurse is implementing the QSEN focus of patient-centered care. Which nursing actions support this focus? (Select all that apply.)

a. Individualize interventions. b. Schedule interventions to meet the patient's needs. c. Evaluate interventions for applicability to the patient. d. Scan prescribed medications using the bar-coding system. e. Document responses to treatment in the electronic medical record.

Nursing