The nurse notes that the patient's tympanic temperature is 37.88° C (100.2° F) at 4 PM on the patient's second postoperative day. What should the nurse do initially?
a. Check the leukocyte count.
b. Collaborate for cultures.
c. Ask the patient to drink some fluid.
d. Offer the patient another blanket.
C
The nurse should ask the patient to drink more fluid and cough and deep breathe because low-grade temperatures frequently indicate dehydration and atelectasis in postoperative patients; in addition, patient temperatures generally peak in late afternoon. The nurse evaluates the pa-tient's temperature again in 2 hours and expects to obtain a lower temperature. If not, the nurse assesses the patient for infection and collaborates with the provider to plan care. Until the nurse tries fluid and verifies the temperature, collaborating for specimen cultures is premature; in addi-tion, the provider potentially will not want to culture for a low-grade temperature.
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A client began receiving a unit of blood ~5 minutes ago and states that he is "terribly itchy." The client's face is visibly flushed and there is a rash on his upper chest. However, his vital signs are within normal limits
What should the nurse do in response to this? A) Stop the blood infusion and administer a bolus of normal saline B) Increase the rate of infusion to overcome the client's temporary response C) Slow the infusion rate and prepare an antihistamine D) Stop the infusion and administer an antiemetic
New growths of abnormal tissue are called __________
Fill in the blank(s) with correct word
An older client with a history of hypertension and osteoarthritis who has recently fallen and fractured two ribs is prescribed extra strength Tylenol for the pain. What statement by the client requires further evaluation by the nurse?
a. "I find that when I drink herbal tea and then take my Tylenol at bedtime, I sleep through the whole night." b. "I heard that meditation may help me deal with the pain without taking all that Tylenol." c. "Two extra strength Tylenol tablets (500 mg/tablet) every 4 hours around-the-clock and my pain is gone." d. "I make sure that I take my Tylenol with breakfast when I first get up."