A nurse teaching a student nurse how to take temperatures with a nonmercury glass thermometer would be correct in stating the following:
A) If the thermometer is stored in a chemical solution, wipe the thermometer dry with a soft tissue, using a firm, twisting motion from the fingers to the bulb.
B) Grasp the thermometer firmly with the thumb and the forefinger and, using strong wrist movements, shake it until the chemical line reaches at least 92ºF.
C) Read the thermometer by holding it horizontally at eye level, and rotate it between your fingers until you can see the chemical line.
D) Leave the thermometer in place for 3 minutes for oral, rectal, and axillary routes or according to agency protocol.
C
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The nurse is caring for a client with major depressive disorder who was recently placed on a high-potency neuroleptic (antipsychotic) medication. The client has not been eating well, is starting to get dehydrated, and has a temperature of 101°F
The physician orders antibiotics. Six hours later, the nurse notice that the client's temperature has risen to 103°F, and the client has muscle rigidity, and a fluctuating blood pressure. The priority of action for the nurse is to: 1. Discontinue neuroleptic and report symptoms to physician immediately. 2. Chart the assessment findings and report them to the primary nurse at change of shift. 3. Discontinue the neuroleptic and document assessment findings as cause for the action. 4. Continue the medications and perform more frequent assessments of the client.
What medication may be used to treat laryngeal edema?
a. Racemic epinephrine c. Albuterol b. Succinylcholine d. Morphine
A hypertensive client is admitted to the acute care facility that has a tobacco-free policy. Which nursing intervention would be most appropriate for the nurse to assist the client who is a smoker?
A) Allow the client to go outside to smoke. B) Anticipate withdrawal symptoms and treat accordingly. C) Contact the physician for a nonnicotine medication. D) Offer the client nicotine gum.
Which of the following findings is normal regarding assessment of the fontanels?
1. The nurse notes that the 2-week-old infant's fontanels are slightly pulsing. 2. The 2-year-old child's anterior fontanel remains unclosed. 3. The 1-month-old infant's posterior fontanel has closed. 4. The 10-month-old infant's anterior fontanel is shaped like a triangle.