In assessing a client after dialysis, a nurse finds a slight elevation in body temperature as compared with predialysis measures. What is the nurse's best action?
A. Document the finding as the only action.
B. Prepare to culture the fistula site.
C. Encourage the client to drink at least 1 L of fluid.
D. Notify the physician, because this signals impending sepsis.
A
The client's temperature may be elevated because the dialysis machine warms the blood slightly. An excessive temperature elevation from baseline can signal sepsis and, in this case, the nurse should inform the physician and obtain blood cultures.
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A pregnant woman is planning to breastfeed. The nursing intervention that will promote breastfeeding in the new mother is:
1. Facilitating breastfeeding within the first 30–60 minutes of life. 2. Giving the woman literature on breastfeeding as soon as she enters the labor room. 3. Telling the mother that the physician strongly advises new mothers to breastfeed their newborns. 4. Encouraging the mother to attend breastfeeding classes before discharge from the hospital.
Nurses who work in home care offering enteral, parenteral, intravenous, and blood transfusion services can prevent:
a. morbidity. b. hospitalization. c. hospice care. d. mortality.
The nurse is conducting a class on health promotion and uses the following definition: "The ability to perform daily tasks vigorously and alertly, with energy left over for enjoying leisure-time activities and meeting emergency demands
" The nurse is stressing which of the following areas? 1. Physical fitness 2. Emotional health 3. Physical health 4. Psychologic well-being
Which statement demonstrates the nurse's critical thinking skills?
A) "Please explain to me why we are changing our procedure for discarding biohazardously contaminated materials." B) "I want you to report any shortness of breath the client may be experiencing to me immediately." C) "You can expect the post operative client to need increased assessment for pain for at least 2 days post surgery." D) "The culturally diverse client will require additional attention when explaining new procedures."