A 5-year-old child was admitted for a diagnosis of meningitis with a fever of 104.5° F and nuchal rigidity. She responded to antipyretics that were ordered
In addition, the patient's mother was asked to help reduce the fever by limiting the number of blankets covering the patient. After interventions, the child's temperature is 100.5° F. The nurse recognized that the mother has an understanding of the patient's condition when she states which of the following? a. "The high temperature is useful in fighting bacteria and viruses as long as it's not too high."
b. "You need to get her temperature down quickly. She's so uncomfortable."
c. "Her fever is dropping because she is shi-vering. She must be cold."
d. "She probably picked up a bacteria. That's what kids do. That's why they get in-fected."
A
A fever is usually not harmful if it stays below 39° C (102.2° F) in adults or 40° C (104° F) in children. Increased temperature reduces the concentration of iron in the blood plasma, causing bacterial growth to slow. Fever also fights viral infections by stimulating interferon, the body's natural virus-fighting substance. The goal is a "safe" rather than a "low" temperature. A true fever results from an alteration in the hypothalamic set point. To reach the new set point, the body produces and conserves heat. The patient experiences chills, shivers, and feels cold, even though the body temperature is rising. Most fevers in children are of viral origin, lasting only briefly, and have limited effects
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A patient is prescribed an antitussive agent with codeine. Which of the following statements by the patient indicates that the nurse's teaching has been effective?
A) "I will take this medication whenever I am coughing." B) "This medication may make me anxious and nervous." C) "I will call my physician if I develop diarrhea when I take it." D) "This medication will cause drowsiness, and I will not drive."
The nurse instructs the client on mixing NPH and regular insulin in the same syringe. Rank the client teaching in the order the client should follow to ensure accurate dosing
1. Withdraw the NPH insulin. 2. Withdraw the regular insulin. 3. Remove air bubbles for correct dose. 4. Calculate the combined total volume of insulin. 5. Inject air equal to the NPH insulin volume into the vial. 6. Inject air equal to the regular insulin volume into the vial.
How is a "client" most accurately described in Johnson's Behavioral System Model?
a. An individual who is responsible for his or her own health care b. A behavioral system that is an integrated whole c. A dynamic entity with both input and output d. An individual who must adapt to illness
Which is a principle of growth and development?
a. The process starts at birth and continues until death. b. The process proceeds from the simple to the complex. c. The process occurs in a random order, without any particular pattern. d. The rate of the process is even and at a set pace.