The nurse is providing care to a patient who presents with a fever. Which is the most appropriate action by the nurse during the assessment process?
1) Assess for confusion
2) Assess vital signs
3) Assess for lethargy
4) Assess for irritability
ANS: 2
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After teaching a client who has plans to travel to a non-industrialized country, the nurse assesses the client's understanding regarding the prevention of viral hepatitis. Which statement made by the client indicates a need for additional teaching?
a. "I should drink bottled water during my travels." b. "I will not eat off another's plate or share utensils." c. "I should eat plenty of fresh fruits and vegetables." d. "I will wash my hands frequently and thoroughly."
How many 2-gram tablets are needed to prepare 100 mL of a 6% solution?
1. 3 tablets 2. 5 tablets 3. 30 tablets 4. 6 tablets
After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?
a. Responding to recurring crises at work or in one's personal life b. Unsuccessful attempts to communicate with the unit manager c. Talking with potential faculty candidates d. Being given unclear job responsibilities
The faculty member explains to students that the Omaha Problem Classification system
a. classifies problems based on their severity. b. is designed for community health nursing. c. helps nurses allocate resources in home health. d. is the most complete nursing nomenclature system.