The new nurse is caring for a client with a high temperature. Which action by the nurse warrants intervention by the new nurse's preceptor?
a. Sponging the client while monitoring for shivering
b. Applying cool packs to the client's axillae and groin
c. Monitoring the client's temperature more often than ordered
d. Obtaining a fan from central supply for the client's room
D
The use of fans is discouraged to promote cooling in a febrile client because the fan can disperse pathogens. The other actions are appropriate.
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A family member expresses concern to the nurse about behavioral changes in an elderly client. What information would cause the nurse to suspect a dementia disorder?
1. Decreased enjoyment of activities that were once enjoyable 2. Problems with preparing a meal or balancing a checkbook 3. Increased complaints of physical ailments 4. Sudden disturbed sleep–wake cycle
A care modality is a ____
a. Method of organizing and delivering nursing care b. Staffing grid that outlines nursing unit work schedules c. Place or unit in which care is delivered d. Unit that specializes in caring for a specific population
What information and education will Mr Abidi and his carer (his wife) need to manage his recovery post-discharge? Provide rationales for your suggested teaching plan
What will be an ideal response?
The nurse is teaching the parents of a group of cardiac patients. Which teaching guideline will the nurse include for any child who has undergone cardiac surgery?
1. The child should be restricted from most play activities. 2. The child should be evaluated to determine if prophylactic antibiotics for dental, oral, or upper-respiratory-tract procedures are necessary. 3. The child should not receive routine immunizations. 4. The child can be expected to have a fever for several weeks following the surgery.