During the last vital signs assessment, a patient with end-stage heart failure has a body temperature of 102?F. Which action should the nurse take at this time?
a. Provide additional blankets
b. Assist to a side-lying position
c. Encourage increased oral fluid intake
d. Administer acetaminophen as prescribed
ANS: D
For the terminally ill patient experiencing a fever, the nurse should provide acetaminophen, an antipyretic, as prescribed. A. Providing additional blankets would be appropriate if the patient's temperature was sub-normal. B. Assisting to a side-lying position has no clinical significance for the client experiencing a fever. C. The client's health status may not support an increase in oral fluids.
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A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels. She shows the nurse her readings for the past few days
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A client has a physician's order for NPO (nothing by mouth) following abdominal surgery to repair a bowel obstruction. The client has a nasogastric tube inserted to low intermittent suction. The client requires intravenous therapy to
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All of the following are treatments for osteoporosis except
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