The nurse providing care to a client with an elevated temperature would include in the plan of care:
1. Apply warm blankets.
2. Provide dry clothing.
3. Administer warm intravenous fluids.
4. Administer antipyretic medication.
4. Administer antipyretic medication.
Rationale:
The client has an elevated temperature. The administration of antipyretic medication is one treatment used to lower the body temperature. The other options would be interventions to address a client with a lower body temperature and are incorrect.
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The client is experiencing physiologic signs and symptoms of stress, including which of the following? (Select all that apply.)
a. irritability d. confusion b. nausea e. insomnia c. increased breathing f. headache
The nurse is instructing a patient on the procedure to remove a rigid contact lens. Instruction by the nurse is correct if the patient uses which technique?
a. Slides lens onto the sclera and pinches off the lens b. Draws periorbital skin taut and asks the patient to blink c. Uses a bulb syringe and applies suction to the lens d. Squeezes the upper and lower lids togeth-er to pinch the lens
When helping to develop a diet for a client with constipation, the nurse should stress the need for:
1. High fiber and adequate fluid. 2. Stool softeners and laxatives on a daily basis. 3. Avoidance of fruits and vegetables. 4. Addition of white bread, white rice, and peeled potatoes.
The nurse is identifying patients at risk for needing insulin. Which patient should the nurse identify as potentially needing insulin to maintain a normal blood glucose level? Select all that apply.
A. Patients with type 2 diabetes who are diagnosed with an infection B. Patients with gestational diabetes C. Patients with type 2 diabetes who are undergoing surgical procedures D. Patients who are fasting or malnourished E. Patients receiving total parenteral nutrition