A client with gastroenteritis reports a fever of 102°F (38.9°C). What advice should the nurse provide?
"Continue to monitor your temperature, and take acetaminophen if it rises above 103°F (39.4°C)."
"A fever is expected with gastroenteritis, so there's no need to take any medication."
"Take ibuprofen to help lower your fever and make you feel more comfortable."
"Immediately go to the emergency room if your fever reaches 100°F (37.8°C)."
The Correct Answer is A
A) Correct. This advice encourages the client to monitor their temperature and take appropriate action if it rises significantly.
B) Incorrect. While a fever is expected with gastroenteritis, it can still be managed to improve the client's comfort.
C) Incorrect. Ibuprofen may not be the best choice for everyone, and it's important to specify a temperature threshold for intervention.
D) Incorrect. A fever of 100°F (37.8°C) is not a critical threshold that would necessitate an immediate visit to the emergency room.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. Avoiding hand hygiene is not an effective way to prevent gastroenteritis; in fact, it increases the risk of infection.
B) Incorrect. Sharing personal items can increase the risk of spreading gastroenteritis, as the virus or bacteria can be easily transmitted through shared items.
C) Incorrect. While alcohol-based hand sanitizers can be used in the absence of soap and water, they are not as effective as proper handwashing.
D) Correct. Proper hand hygiene, especially after using the restroom, is crucial in preventing the spread of gastroenteritis, as it reduces the risk of contaminating hands with potentially infectious agents.
Correct Answer is A
Explanation
A) Correct. Many bacteria that cause gastroenteritis release toxins that directly damage the gastrointestinal lining.
B) Incorrect. While invasion of cells can occur with certain bacteria, it is not the primary mechanism of action for all bacterial gastroenteritis.
C) Incorrect. While inflammation is a common response to bacterial infection, it may not be the primary mechanism of all cases of bacterial gastroenteritis.
D) Incorrect. Disruption of normal gut flora is more commonly associated with certain types of antibiotics rather than the direct mechanism of bacteria causing gastroenteritis.
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