The nurse visits the client in his home and finds him with a temperature of 100.2°F oral. The nurse's priority action is to:
1. Notify the physician that the client has a fever and obtain an order for antipyretics.
2. Assess the client further to determine possible cause of the fever.
3. Talk with the family members to get information about the client's condition.
4. Obtain a rectal temperature for increased accuracy.
2
Rationale: The nurse should assess the client before implementing any nursing care or notifying the physician. The reason for the temperature might not be immediately assessed but the physician will need the nurse to provide as much data as possible when notified.
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During an oral assessment of a 30-year-old Black patient, the nurse notices bluish lips and a dark line along the gingival margin. What action would the nurse perform in response to this finding?
a. Check the patient's hemoglobin for anemia. b. Assess for other signs of insufficient oxygen supply. c. Proceed with the assessment, knowing that this appearance is a normal finding. d. Ask if he has been exposed to an excessive amount of carbon monoxide.
As part of the newborn assessment, the nurse inspects the gluteal and popliteal folds of the hips to assess for:
A. opisthotonos. B. neurologic development. C. congenital hip dysplasia. D. muscle development.
Which population would have been the focus of care for an occupational health nurse in the early 1900s?
a. Injured workers b. All workers c. Families d. The community
Approximately how much sleep do toddlers require each day?
a. 10 hours b. 11 hours c. 12 hours d. 13 hours