A critically ill patient has an absolute neutrophil count of 1,000 cells/mm3 . The nurse assesses a single patient temperature of 101 degrees F; subsequent temperatures were normal, and the patient reports no other new symptoms
What is the best nursing action?
A) Assume that the elevated temperature was erroneous.
B) Evaluate for acute infection.
C) Assess vital signs more frequently.
D) Document the temperature results as usual.
B
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A client states, "I have come to the conclusion that this disease has not paralyzed me." The nurse recognizes that this client is in which stage of the Psychological Recovery Model as described by Andersen and associates?
1. Moratorium 2. Awareness 3. Preparation 4. Rebuilding
A judge notices that many of the persons brought before her criminal court are mentally ill people who have committed minor offenses, are off their medications, and who probably offended because of their illness
She consults the nurse director of the local community mental health center for guidance about how to most helpfully respond when handling such cases. Which advice from the nurse would be most appropriate? a. "Sometimes a little time in jail makes a person rethink what they've been doing and puts them back on the right track.". b. "Sentencing such persons to participate in treatment instead of incarcerating them has been shown to reduce repeat offenses.". c. "Actually, police arresting these people helps them in the long run; sometimes I can't hospitalize them, but in jail they'll at least get their meds.". d. "Research suggests that special ‘mental health courts' aren't making much of a difference so far, but outpatient commitment does seem to help.".
For the client with compulsive hand washing, which outcome indicator can be used to evaluate that
social interaction is occurring? The client a. asks for anxiolytic medication when anxiety increases. b. spends time talking to staff and clients in the lounge area. c. decreases the amount of time spent hand washing. d. sleeps 7 to 8 hours nightly.
Following insertion of a pulmonary artery catheter (PAC), the physician orders the nurse to obtain a blood sample for mixed venous oxygen saturation (SvO2). Which action by the nurse best ensures the obtained value is accurate?
a. Zero referencing the transducer at the level of the phlebostatic axis following insertion b. Calibrating the system with a central venous blood sample and arterial blood gas value c. Ensuring patency of the catheter using a 0.9% normal saline solution pressurized at 300 mm Hg d. Using noncompliant pressure tubing that is no longer than 36 to 48 inches and has minimal stopcocks