The nurse is caring for a child diagnosed with pneumonia. Identify the appropriate intervention from those listed below:
a. Limit fluids to decrease fluid in the lungs
b. Do not change position frequently so that the child can rest undisturbed
c. Provide extra blankets when the child is flushed to prevent shivering
d. Give tepid baths to help reduce a high fever
D
The nurse should encourage fluids to help thin secretions. The child's position should be changed frequently. Blankets should be removed when the child is flushed, because this indicates a fever. Tepid baths will help to reduce a fever.
You might also like to view...
A patient with a subclavian catheter is receiving parenteral nutrition (PN). In preparing a care plan for this patient, the nurse will give highest priority to which of the following nursing diagnoses?
A) Risk for activity intolerance related to the presence of a subclavian catheter B) Risk for infection related to the presence of a subclavian catheter C) Risk for loneliness related to need for isolation related to the presence of a subclavian catheter D) Risk for caregiver role strain related to the care of a subclavian catheter
A patient comes to the clinic complaining of pain in the epigastric region. What assessment question during the health interview would most help the nurse determine if the patient has a peptic ulcer?
A) "Does your pain resolve when you have something to eat?" B) "Do over-the-counter pain medications help your pain?" C) "Does your pain get worse if you get up and do some exercise?" D) "Do you find that your pain is worse when you need to have a bowel movement?"
A client with a history of frequent outbursts and fighting has been receiving treatment to help control emotions and anger. The nurse realizes that the treatment has been successful when the client states:
1. "Hitting people is only justified sometimes.". 2. "There are other ways to deal with anger, and I will use them instead of fighting.". 3. "My brothers are the only ones who I can fight with and not get in trouble.". 4. "As long as my mother doesn't hit me first, I will not hit her.".
A client is admitted to a medical-surgical unit after abdominal surgery. The nurse is assessing the client for pain. In order to provide culturally competent care, the nurse would be expected to do all of the following with the exception of:
A) Respecting the client's right to react to pain in whatever manner they desire. B) Acknowledging that each client holds various beliefs about pain. C) Abstaining from stereotyping a client's pain responses based on the person's culture. D) Assuming that all clients will verbally express their pain and ask for medication.