A client is admitted with possible sepsis. Which action should the nurse perform first?
a. Administer antibiotics.
b. Give an antipyretic.
c. Place the client in isolation.
d. Obtain specified cultures.
ANS: D
Prior to administering antibiotics, the nurse obtains the ordered cultures. Broad-spectrum antibiotics will be administered until the culture and sensitivity results are known. Antipyretics are given if the client is uncomfortable; fever is a defense mechanism. Giving antipyretics does not take priority over obtaining cultures. The client may or may not need isolation.
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Betty Neuman developed the nursing theory that promotes nursing interventions to assist individuals in reaching and maintaining the highest level of wellness possible. What is this theory known as?
a. Adaptation model b. Interpersonal model c. Systems model d. Self-care deficit model
When assisting the older adult who is despondent about the need to leave his home, what technique should the nurse use?
a. Ask him if he has a drinking problem b. Explore the option of his moving in with someone c. Reminisce with the patient and review his life d. Assess for hopelessness and helplessness
The nurse is caring for a client with a significant allergy history to various medications and shellfish. Because the client needs to have a diagnostic study with contrast, which medication classification is anticipated?
A) Bronchodilator B) Antihistamine C) Cardiotonic D) Antibiotic
A client is concerned about recent body changes resulting from androgen therapy and is not sure that the treatment is "worth it." What is the best therapeutic response by the nurse?
1. "You sound concerned. Make sure you share this concern with the doctor during your next appointment." 2. "You sound concerned. These changes in your body are only temporary." 3. "You sound concerned, but I don't see any real changes in your body." 4. "You sound concerned. Let's talk about the body changes you're experiencing."