A client is experiencing a significant change from her normal health. In the first stage of an acute illness, the nurse can expect the client to report having: (Select all that apply.)

1. cough.
2. pain.
3. fever.
4. bleeding.
5. thirst


Answer: 2, 3, 4

1. In the first stage of an acute illness, a person experiences symptoms or manifestations that signal a change in normal health. A cough is not considered one of these changes.
2. In the first stage of an acute illness, a person experiences symptoms or manifestations that signal a change in normal health. Pain is considered one of these changes.
3. In the first stage of an acute illness, a person experiences symptoms or manifestations that signal a change in normal health. Fever is considered one of these changes.
4. In the first stage of an acute illness, a person experiences symptoms or manifestations that signal a change in normal health. Bleeding is considered one of these changes.
5. In the first stage of an acute illness, a person experiences symptoms or manifestations that signal a change in normal health. Thirst is not considered one of these changes.

Nursing

You might also like to view...

When assessing gait, what features does the nurse inspect? (Select all that apply.)

a. Balance b. Ease of stride c. Goniometer readings d. Length of stride e. Steadiness

Nursing

A postpartum client who received spinal anesthesia for the delivery has not voided for 5 hours and is concerned about nerve damage. How should the nurse respond about this concern?

1. "Spinal anesthesia can sometimes cause nerve damage." 2. "You are probably dehydrated. Please increase your water intake." 3. "It may be several hours before you're able to control your urination." 4. "You should be able to control your bladder by now. I'll ask the anesthesia provider to visit with you."

Nursing

The 17-year-old single mother of a 2-month-old infant comes to the clinic and tells the nurse, "Sometimes no matter what I do my baby won't stop crying. I hold him up in the air and shake him until he stops

" Based on these statements by the mother, what is the first action by the nurse? a. Teach the mother about the dangers of shaking a baby b. Report child abuse to the appropriate authorities c. Teach the mother other methods to stop the baby from crying d. Encourage the mother to obtain more support from a significant other

Nursing

A client who wants to lower the VLDLP would benefit most from what advice given by the nurse?

a. change to a low-fiber and low-fat diet b. replace saturated fats with carbohydrates c. decrease saturated fat to 7% of total kacalories d. strive for 30-35% of kcalories from total fat and decrease carbohydrate intake

Nursing