When teaching about temperature monitoring for a child, a nurse instructs the parents to:
A. Use only a glass thermometer
B. Take the temperature after the shivering subsides
C. Avoid the use of tepid water sponging for fever
D. Take the temperature, but adjust the reading if the child has eaten a Popsicle
B
B. Teach client to take temperature after chills/shivering subsides to obtain an accurate temperature.
A. Nurses in home care need to educate their clients about the environmental hazards associated with mercury and encourage their clients to purchase mercury-free thermometers.
C. Common therapies for temperature reduction that are safe to perform at home include applying cool moist compresses to the skin.
D. Instruct client to take temperature 20 to 30 minutes after smoking or ingesting hot or cold liquids or foods.
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The nurse assessing an 11-year-old who is having an asthma attack expects to hear adventitious sounds of:
a. friction rub. b. sibilant wheezes. c. crackles. d. sonorous wheezes.
A patient who has had gallbladder surgery finds that in the postoperative period she is bothered by an excess of intestinal gas, producing flatus and bloating. Which would be an appropriate medication for this symptom?
a. Syrup of ipecac b. Chenodiol c. Simethicone d. Disulfiram
A patient taking an FGA medication develops severe parkinsonism and is treated with amanta-dine [Symmetrel]. The amantadine is withdrawn 2 months later, and the parkinsonism returns. The nurse will expect the provider to:
a. give anticholinergic medications. b. make a diagnosis of idiopathic parkinson-ism. c. resume the amantadine indefinitely. d. try a second-generation antipsychotic (SGA).
Which assessment data would the nurse interpret as indicating a patient could be experiencing a fat embolus? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Pulse oximetry 86% 2. Petechiae on the chest and upper arms 3. Shortness of breath and chest pain 4. Respiratory rate 32 5. Skin hot, dry, and flushed