At last measurement, the client's vital signs were as follows: oral temperature 98°F (36.7°C), heart rate 76 beats/min, respiratory rate 16 breaths/min, and blood pressure (BP) 118/60 mm Hg
Four hours later, the vital signs are as follows: oral temperature 103.2°F (38.5°C), heart rate 76 beats/min, respiratory rate 14 breaths/min, and blood pressure 120/66 mm Hg. Which should the nurse's first intervention be at this time?
a. Ask the client whether he has had a warm drink in the last 30 minutes.
b. Notify the primary care provider of the client's temperature.
c. Ask the client whether he is feeling chilled.
d. Take the temperature by a different route.
ANS: A
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Correlational research has which of the following characteristics? Correlational research:
a. can manipulate dependent variables. b. can only be used to determine causality. c. examines relationships between existing variables. d. is always used to generate rather than test hypotheses.
The nurse is administering a parenteral nutrition infusion to a patient. The nurse will implement which measures to prevent infection?
(Select all that apply.) a. Change the intravenous tubing set every 72 hours. b. Change the intravenous tubing set every time a new bag is added to the infusion. c. Use a 1.2-micron filter with each tubing set. d. Monitor the patient's temperature every shift during the infusion. e. Report any increase in the patient's temperature over 100° F (37.8° C).
Scales and tests that involve summing item scores are typically evaluated. The nurse research would use Cronbach's alpha to determine which attribute of an instrument?
A) Stability B) Internal consistency C) Equivalence D) Sensitivity
A family is involved in an automobile accident. The father, who is unconscious, and his 14-year-old son, who has suffered life-threatening injuries, are transported by ambulance to the hospital
The hospital staff attempt to contact the mother; however, they learn from the housekeeper that the mother is out of the country and not reachable by phone. Which of the following actions would be most reasonable and prudent on the part of the hospital staff? a. Obtain informed consent from the child, if possible, and with or without it, provide life-saving procedures. b. Get a court order from a judge in case the family later has objections to some of the care, such as the use of blood products. c. Have the housekeeper give informed consent. d. Locate another relative and get informed consent.