Which of the following interventions would be appropriate for a client who has a fever? Choose all that apply
1) Put an ice pack on the client's neck and axillae.
2) Provide the client a blanket when he is shivering.
3) Offer the client fluids to drink every 1 to 2 hours.
4) Take the temperature using a tympanic thermometer.
ANS: 1, 3
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Which of the following clients may be eligible for hospital-based, disease-specific case management support? (Select all that apply.)
a. Those who have high-cost conditions b. Those with physicians who request such intervention for their patients c. Those who may be maintained in a stable condition in their home environment d. Those who have access to private insurance plans e. Those who have requested such services f. Those whose hospital has a collaborative agreement with a home health nursing agency
The home health nurse is assessing the patient's home. Which of the following would be identified as a fall risk? (Select all that apply.)
a. Brightly lit rooms b. Pantry food at an accessible level c. Colorful scatter rugs marking doorways and steps d. Wearing comfortable laced tennis shoes e. Attractive, low, magazine rack beside a chair
The nurse is interviewing a client who has admitted to being a victim of domestic violence. What is the most typical description of how the domestic violence developed in a relationship?
1. "He changed overnight. Everything was fine, and all of a sudden he flipped out and beat me up; he nearly killed me." 2. "It was severe from the beginning. As soon as we got married, he began hitting me and threatening to kill me." 3. "We've both always dated other people. I thought that was understood. He was as emotionally abusive in the beginning as he is now." 4. "I don't know when it started, really. It was gradual. First, just yelling, blaming, and shoving. Then the beatings started; and now they're more frequent."
The nurse can best discuss the impact of a known risk factor on a client's health by stating:
1. "It doesn't mean you'll get the disease just that the odds are greater for you." 2. "Now you know that the possibility is there, you can take steps to prevent it." 3. "The risk factor can be managed by making a change in your lifestyle." 4. "You're lucky because you have the benefit of being able to do something about it."