A critically ill patient has an absolute neutrophil count of 1,000 cells/mm3 . The nurse assesses a single patient temperature of 101°F; subsequent temperatures were normal, and the patient reports no other new symptoms
What is the best nursing action?
A) Assume that the elevated temperature was erroneous.
B) Evaluate for acute infection.
C) Assess vital signs more frequently.
D) Document the temperature results as usual.
B
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The nurse is assisting the graduate nurse in completing a plan of care for a newly admitted client. The client has a history of congestive heart failure and was admitted with shortness of breath
Upon admission the client stated that she did not have enough money to purchase her medications. Which of the following nursing diagnoses will be of the greatest initial importance when planning care? A) Activity intolerance related to shortness of breath B) Fatigue related to shortness of breath C) Ineffective management of therapeutic regime related to inability to purchase medications D) Fluid volume overload related to shortness of breath
Which of the following actions promotes spiritual growth during a child's spiritual development?
A) Incorporating spiritual ceremonies or rites into daily family life B) Attending spiritual gatherings with community members C) Adding spiritual curriculum and teachings to education D) All of the above
When should a healthcare facility determine how to deliver care if an emergency or disaster occurs?
A) as soon as the disaster is announced publicly B) when it is officially informed that a disaster has occurred C) after the first disaster has been experienced D) in advance of a possible emergency or disaster
The nurse is seeing prenatal clients in the clinic. Which client is exhibiting expected findings?
1. 12 weeks' gestation, with fetal heart tones heard by Doppler fetoscope 2. 22 weeks' gestation, client reports no fetal movement felt yet 3. 16 weeks' gestation, fundus three finger breadths above umbilicus 4. Marked edema