A registered nurse is caring for a patient who was admitted to the hospital after being involved in a motor vehicle accident. The patient has undergone two surgeries and now has a health care–acquired infection. Multiple medications were ordered
Which of the following would be least appropriate for the nurse to administer to reduce the fever? A. Acetaminophen
B. Corticosteroid
C. Ibuprofen
D. Indomethacin
B
Nonsteroidal drugs such as acetaminophen, salicylates, indomethacin, ibuprofen, and ketorolac reduce fever by increasing heat loss. Health care providers generally order antipyretics if a fever is high than 39° C (102.2° F). Corticosteroids reduce heat production by interfering with the hypothalamic response. These drugs mask signs of infection by suppressing the immune system. Corticosteroids are not used to treat a fever.
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A client is hospitalized during an acute exacerbation of symptoms related to Crohn's. The nurse shows an understanding of the need for bowel rest by discussing with the client that he:
1. Will be receiving total parenteral nutrition (TPN). 2. Will be getting only a soft diet until the diarrhea subsides. 3. Should select foods that are high in potassium. 4. May find a high-calorie, low-fat, high-fiber diet helpful.
The nurse is preparing to insert a nasogastric (NG) tube. Which techniques should the nurse use to measure the length of an NG tube before gastric intubation?
a. Measure and mark a point 72 cm (30 inches) from the end. b. Measure from the nose to the middle of the sternum. c. Measure from the nose to the ear to the patient's navel. d. Measure from the nose to the earlobe to the xiphoid process.
Kaylee has had her surgery and needs to have a dressing change. You expect that this procedure may be both painful and frightening to the child. This procedure should be performed:
a. In the patient's room, because the surroundings are familiar b. In the treatment room, so she will associate positive feelings with her patient room c. In the playroom, so she will be distracted by the other children playing d. None of the above
In a study to examine the effects of a newly modified anxiety-reducing nursing action on a group of subjects who have cancer, the control group will receive
a. an alternative intervention. b. no intervention. c. the newly modified intervention. d. the standard intervention.