The nurse is teaching a group of CNAs about the fastest and simplest technique to reduce temperature in a patient with a fever. Which method should the nurse include in the teaching plan?
a. Apply ice packs to the groin.
b. Bathe the patient in tepid water.
c. Remove clothing and bed linen.
d. Give the patient chilled drinks.
C
Removing the patient's clothing and bed linen covering the patient is a quick, simple, and usually effective way to reduce temperature. The application of ice packs may result in excessive cooling and result in shivering, which acts to increase metabolic rate. Bathing in tepid water is effective but requires more time and interaction than simply removing clothing and bed linens. Chilled drinks will not adequately reduce the total body temperature.
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The nurse notes that a client is prescribed a medication that inhibits the absorption of some nutrients. Which characteristic pharmokinetics is this medication affecting?
a. Excretion b. Chelation c. Metabolism d. Bioavailability
The nurse assesses an area where an IV had been changed recently. The area has redness, swelling, and warmth, which are characteristics of:
1. infiltration and air embolus. 2. inflammation and possible phlebitis. 3. blood loss and hemorrhage. 4. embolus from the former catheter.
Which client should be most closely monitored for adverse effects directly related to receiving penicillin G?
1. A client who has osteomyelitis and will need IV medication for several months 2. A client who had a myocardial infarction 2 days ago and now has a fever of 102°F 3. A client who is postop from corneal transplant 4. A client who has diabetes and is on dialysis
The parents of a newborn say that their toddler "hates the baby . . . he suggested that we put him in the trash can so the trash truck could take him away." The nurse's best reply is:
a. "Let's see if we can figure out why he hates the new baby." b. "That's a strong statement to come from such a small boy." c. "Let's refer him to counseling to work this hatred out. It's not a normal response." d. "That is a normal response to the birth of a sibling. Let's look at ways to deal with this."