The nurse is planning care for a client with history of rheumatic carditis. Which nursing intervention would be most helpful in preventing further complications?
A) Assess temperature, pulse, respirations, and blood pressure every 4 hours.
B) Use clean technique or sterile technique, when applicable, for any invasive procedure.
C) Instruct on adequate rest, at least 8 hours, per day.
D) Encourage a diet of lean meat and fish in a weekly meal plan.
B
Feedback:
A nurse considers that clients with a history of rheumatic carditis may be at risk for further complications. Considering care (clean or sterile) during invasive procedures reduces the portals of entry for causative microorganisms. This is most helpful in preventing further complications. All other options are appropriate interventions when considering standards of care.
You might also like to view...
The ________________-related groups system establishes reasonable payment levels for specific health problems in an effort to contain health care costs
Fill in the blank(s) with correct word
Which assessment finding of an older adult living in an assisted-living facility indicates the highest risk for suicide?
a. Liver failure is due to alcohol abuse; older adult is popular at meals. b. Older adult declines company; is preoc-cupied with lethal weapons. c. Refuses to allow a large, extended family to help him. d. Older adult had an overdose of acetami-nophen 20 years ago; is in a sewing group.
A medication can be administered via the rectal ________
Fill in the blank(s) with correct word
Nitroglycerin is administered sublingually and is absorbed ________.
Fill in the blank(s) with the appropriate word(s).