A client is admitted with a fever of unknown origin. To assess fever patterns, which intervention should the nurse implement?

Measure temperature at regular intervals.

Assess for flushed, warm skin regularly.

Vary sites for temperature measurement.

Document the client's circadian rhythms.

Answer and Explanation

The Correct Answer is A

Choice A Reason: This is correct because measuring temperature at regular intervals allows the nurse to monitor fever patterns and evaluate the effectiveness of interventions.

Choice B Reason: This is incorrect because assessing for flushed, warm skin regularly is not a reliable indicator of fever. Skin temperature may vary depending on environmental factors and blood flow.

Choice C Reason: This is incorrect because varying sites for temperature measurement may result in inaccurate readings. Different sites have different normal ranges and may be affected by external factors.

Choice D Reason: This is incorrect because documenting the client's circadian rhythms is not relevant to assessing fever patterns. Circadian rhythms are natural fluctuations in body functions that occur over a 24-hour cycle.

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Correct Answer is ["A","C","E"]

Explanation

Choice A Reason: This is correct because providing comfort measures such as topical warm application and tactile massage can help reduce pain perception and promote relaxation by stimulating non-painful sensory receptors.

Choice B Reason: This is incorrect because assisting the client to ambulate as much as possible during waking hours can increase pain intensity and fatigue by aggravating inflamed or injured tissues. The nurse should encourage moderate physical activity within the client's tolerance level.

Choice C Reason: This is correct because determining client's subjective measure of pain using a numerical pain scale can help assess pain severity and effectiveness of pain management interventions. Pain is a subjective experience that varies among individuals.

Choice D Reason: This is incorrect because encouraging increased fluid intake and measuring urinary output every 8 hours are not directly related to pain management. These interventions are more relevant for clients with fluid imbalance or renal impairment.

Choice E Reason: This is correct because implementing a 24-hour schedule of routine administration of prescribed analgesic can help maintain a steady level of analgesia and prevent breakthrough pain. Chronic pain requires continuous treatment rather than on-demand administration.

Correct Answer is ["1"]

Explanation

To find the number of tablespoons, the nurse needs to convert the dose from milligrams (mg) to milliliters (mL), and then from milliliters to tablespoons. One tablespoon is equal to 15 mL.

The bottle label shows that 30 mg of dextromethorphan is equivalent to 15 mL of oral suspension. Therefore, the client needs to take 15 mL of oral suspension to get 30 mg of dextromethorphan.

Since one tablespoon is equal to 15 mL, the client needs to take one tablespoon of oral suspension with each dose.

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A client is admitted with a fever of unknown origin. To assess fever patterns, which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After reviewing the admission assessment of a client with chronic pain, which intervention(s) should the nurse include in this client's plan of care? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours as needed for cough. The bottle is labeled "Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)

Correct Answer is ["1"]

Explanation

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A client is admitted with a fever of unknown origin. To assess fever patterns, which intervention should the nurse implement?

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