A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).
After notifying the provider, which of the following actions should the nurse take?
Administer misoprostol vaginally.
Administer acetaminophen orally.
Prepare the client for placement of an intrauterine pressure catheter.
Recheck the client's temperature in 2 hr.
The Correct Answer is B
Acetaminophen can be used to reduce fever during pregnancy.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.
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Related Questions
Correct Answer is D
Explanation
B. This is the vaccine for hepatitis B, a viral infection that can cause liver damage and cancer.
The CDC recommends that all newborns receive the first dose of this vaccine within 24 hours of birth, followed by two more doses at 1 to 2 months and 6 to 18 months of age.
Choice A.
MMR is incorrect, as this is the vaccine for measles, mumps, and rubella, which is not given at birth but at 12 to 15 months and 4 to 6 years of age.
Choice B.
Varicella is incorrect, as this is the vaccine for chickenpox, which is also not given at birth but at 12 to 15 months and 4 to 6 years of age.
Choice C.
DTaP is incorrect, as this is the vaccine for diphtheria, tetanus, and pertussis (whooping cough), which is not given at birth but at 2, 4, 6, and 15 to 18 months and 4 to 6 years of age.
Therefore, choice D is the best answer to this question.
Correct Answer is D
Explanation
Difficulty climbing stairs is an early sign of muscular dystrophy.
This is because the condition causes progressive muscle weakness, which can make it difficult for the child to perform physical activities that require muscle strength.
Choice A is not the best answer because high fevers and tiredness are not specific to muscular dystrophy and can be caused by many other conditions.
Choice B is not the best answer because muscular dystrophy causes muscle weakness, not increased muscle strength.
Choice C is not the best answer because respiratory infections and obesity are not specific to muscular dystrophy and can be caused by many other conditions.
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