A client with an open wound develops a temperature of 99.8° F. The most appropriate action by the nurse is to
a. administer an antipyretic.
b. continue to monitor the client's temperature.
c. cool the client's environment.
d. keep the client warm.
B
Fever is usually adaptive because bacterial reproduction is sensitive to even slight increases in temperature.
You might also like to view...
Your clinic patient is diagnosed with vulvar carcinoma and the physician recommends a wide exicision as treatment for the cancer
The patient asks you why the physician has recommended this particular procedure. What would be your best response? A) "There really isn't any good treatment for vulvar cancer, so we go with the best we have got." B) "This is the only option for treatment of your type of cancer." C) "The tests show that your lymph nodes are normal so a more radical procedure is not necessary." D) "The tests show that you have involvement of the lymph nodes so this is considered a life-saving procedure."
A client with respiratory failure was intubated with an oral endotracheal (ET) tube 2 hours ago. Suspecting that the tube has changed position slightly since insertion, the nurse would assess the
a. results of the chest x-ray film taken 2 hours earlier. b. current oxygen saturation readings. c. status of the client's breath sounds. d. position of the numbers on the ET tube at the lip line.
The nurse is aware that which of the following may be administered intravenously?
a. diazepam c. lorazepam b. temazepam d. midazolam
The nurse is caring for a patient who is receiving fluorouracil (5-FU) to treat pancreatic cancer. Which interventions are included in the nurse's plan of care for this patient? (Select all that apply.)
a. Apply ice to the IV site if the patient reports pain. b. Administer antiemetics when the patient reports nausea. c. Counsel the patient to use waxed dental floss. d. Discourage visits with people who have respiratory infections. e. Offer ice chips frequently. f. Restrict to nothing by mouth during intravenous drug administration.