The client has developed pneumonia, and his temperature is 38.5ºC. The client is shivering and "feels uncomfortable." Which one of the following actions should the nurse take?
a. Apply hot packs to the axilla and groin.
b. Wrap the client's four extremities.
c. Increase oral fluid consumption.
d. Apply a hypothermia mattress.
C
The client's oral fluid consumption should be increased (3 L per day for the client with normal cardiac function and renal function).
Measures to increase temperature would not be indicated for a temperature of 38.5ºC.
External covering of the client's body should be reduced, without inducing shivering in the cli-ent.
The environmental temperature should be controlled, without inducing shivering in the client.
You might also like to view...
What occurs when there is too little conflict in an organization?
A) Organizational stasis B) Increase in organization's effectiveness C) Decrease in organization's effectiveness D) Employees are immobilized
The nurse is teaching the patient methods for getting up after a fall
The nurse instructs the patient to pull up to a sitting position on the floor, shuffle the buttocks to a nearby piece of furniture, pull up on the knees in front of the furniture, and then: 1. stand up. 2. place hands on the floor for leverage. 3. pivot so that the furniture is behind the body. 4. sit back down.
A nurse is caring for a client with Alzheimer's disease (AD) in an extended-care facility
What safety measure would be best for the client who attempts to get out of bed? A) A phone close to the client's bed B) A special armband alarm device C) A leather restraint tied to the client's arm D) A buzzer located under the mattress
A healthcare professional cares for older adults in a skilled nursing facility. What should the professional assess for in these individuals related to cardiovascular functioning?
a. Increased rate of falling and dizzy spells b. Improved exercise tolerance c. A gradual slowing of the heart rate d. Progressive ECG changes