A client reports to the nurse that the room is "too hot." Which of the following nursing actions best reflects the nurse's understanding of the therapeutic manipulation of the client's environ-ment?
a. Bringing a portable fan into the room
b. Assisting the client in the removal of excess clothing
c. Offering to ambulate the client into the visiting lounge
d. Closing the blinds to minimize the sunshine through the windows
A
Cooling the room by introducing the fan will not impact any other aspect of the environment.
It may not be appropriate for the client to remove clothing.
Leaving the room is only a temporary solution to the problem.
Closing the blinds may manipulate the environment to decrease the temperature from sunlight, but it will also impact the environment by reducing the light in the room.
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When the client is not progressing as expected, the last step of the evaluation process is
a. reassessing the client's status b. modifying the plan of care c. relating nursing actions to the client's status d. determining outcome achievement
A client was prescribed Penicillin for a respiratory infection. After taking the second dose, the client developed a bright, red itchy rash on his trunk. A drug reaction is which type of hypersensitivity?
a. Type I c. Type III b. Type II d. Type IV
The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct?
a. "Avoid direct sunlight and tanning beds while on this medication." b. "Milk and cheese products result in increased levels of tetracycline." c. "Antacids taken with the medication help to reduce gastrointestinal distress." d. "Take the medication until you are feeling better."
A child begins to squirm and giggle when the nurse begins to palpate the abdomen. What is the best approach for the nurse to use with a child who is ticklish?
a. Skip the abdominal palpation. b. Touch the abdomen firmly as the child takes short, quick breaths. c. Press the abdomen with the child bearing down and holding the breath. d. Palpate with the child's hand under the ex-aminer's hand.