A client is admitted with fever, myalgia, and a papular rash on the face, palms, and soles of the feet. What action should the nurse take first?
a. Obtain cultures of the lesions.
b. Place the client on Airborne Precautions.
c. Prepare to administer antibiotics.
d. Provide comfort measures for the rash.
ANS: B
This client has manifestations of smallpox, a public health emergency, and should be placed on Airborne Precautions first before other care measures are implemented.
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What should be the focus when the family and the patient work with the nurse to plan interventions?
a. Determining actions b. Participating in care c. Setting goals d. Celebrating achievements
A nurse, in addressing spirituality concerns of a patient, will first assess
1. Whether the patient practices a religion. 2. A patient's understanding of religion. 3. The patient's definition of morality. 4. Whether the patient has a lower frequency of health complaints.
The nurse is preparing to ambulate an 11-year-old child who has had an appendectomy. In addition to pharmacologic pain management, the nurse can use which nonpharmacologic pain management strategy for this client?
1. A heating pad 2. A warm, moist pack 3. A pillow to splint the incisional area 4. An ice pack
Which is the priority nursing intervention for a patient with a junctional escape rhythm?
1. Assess the patient for symptoms associated with this rhythm. 2. Contact the physician immediately for emergency orders. 3. Eliminate caffeine from the diet. 4. Prepare for a pacemaker insertion.