A client's average normal temperature is 98°F. Which of the following temperatures would be expected during the night in this healthy, young adult client who does not have a fever, inflammatory process, or underlying health problems?
a. 97.2°F
b. 98.0°F
c. 98.6°F
d. 99.2°F
A
The lowest temperature occurs during sleep (usually at night) when the metabolic rate is lowest. Temperature normally increases throughout the day until it peaks in the early evening.
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As the LPN/LVN discusses the care plan with the other staff, they note the following characteristics of a client's "at risk for" nursing diagnosis: Standard Text: Select all that apply
1. Problem statement 2. Factors contributing to the response 3. The words "related to" 4. Defining characteristics manifested by the client 5. Deviation from health
A nurse is working with the family of a child who is overweight. What action by the nurse is most appropriate?
A. Help the family identify fun activities. B. Instruct the child to exercise for an hour each day. C. Place the child on a restricted-calorie diet. D. Set a weight-loss goal for the child.
The nurse educator is preparing an inservice on pain management for the staff. One of the staff nurses asks, "What is the most important part of a pain assessment?" How should the nurse educator respond to this question?
1. "Pain is only partially subjective and primarily a physiologic experience, so vital signs are the most important assessment." 2. "A client's response to pain is always based on the underlying cause, so the client's admitting diagnosis is important." 3. "Vital signs are not reliable indicators of acute pain, because only some clients are able to elicit a change in blood pressure or pulse rate." 4. "The response to pain is unique and based on numerous factors, which need to be assessed."
Children who are aged 8 to 10 years are generally able to understand and should have treatment explained to them
Older children who have good maturity and intellectual ability can sign (along with parents or guardians) consent for treatments such as chemotherapy for childhood cancer treatment. A) True B) False