A resident is receiving TPN. The person has an elevated temperature and complains of chills. What should you do?
a. Give the person a bath.
b. Call the nurse at once.
c. Stop the TPN.
d. Offer the person another blanket.
B
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The nurse leading a group of inpatient clients observes a client trying to control the group by monopolizing the discussion. The nurse knows this will most likely decrease:
1. Therapeutic alliance. 2. Leader credibility. 3. Cohesion. 4. Power and influence.
A client diagnosed with chronic obstructive pulmonary disease has the complication of cor pulmonale. Which of the following instructions will be included in the client's discharge teaching?
1. Adjust oxygen higher depending on activity level. 2. Increase sodium in the diet. 3. Maintain bed rest. 4. Weigh self daily, and call the physician with a weight gain of 2 pounds
The presence of nitrites in a urinalysis is indicative of:
a. hypertension or diabetes mellitus. b. urinary tract infections or pyelonephritis. c. renal calculi or use of anticoagulants. d. cirrhosis or hepatitis.
The nurse is planning care to prevent complication for a client with multiple myeloma. Which intervention is most important for the nurse to include?
A) Safety precautions during activity. B) Assess for changes in size of lymph nodes. C) Maintain a fluid intake of 3 to 4 L per day. D) Administer narcotic analgesic around the clock.