A patient with rheumatoid arthritis has been taking corticosteroids for 11 months. Which nursing action is most likely to detect early signs of infection in this patient?
a. Monitor white blood cell count.
b. Check the skin for areas of redness.
c. Check the temperature every 2 hours.
d. Ask about fatigue or feelings of malaise.
ANS: D
Common clinical manifestations of inflammation and infection are frequently not present when patients receive immunosuppressive medications. The earliest manifestation of an infection may be "just not feeling well."
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a. Administer oxygen at 2 L/min. b. Allow continued bathroom privileges. c. Obtain a bedside commode. d. Suggest the client use a bedpan.
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A nurse works in a multicultural area's health clinic. Which major barrier does this nurse need to consider when she hears that many individuals, regardless of cultural background, are prevented from regular health care?
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A nurse sees a baby whose left arm is in a flexed position and is held in place by pinning the cuff of the baby's T-shirt sleeve to the opposite shoulder. What can the nurse conclude about this baby?
A. Broken clavicle B. Broken wrist C. Duchenne-Erb paralysis D. Klumpke paralysis