A nurse is caring for a 62-year-old client with manifestations of an infection.

Exhibits

Which of the following actions should the nurse take? (Select all that apply.)

Encourage the client to increase fluid intake.

Wear a mask when caring for the client.

Prepare to administer an antibiotic to the client.

Place the client in a private room.

Place the client on contact precautions.

Answer and Explanation

Correct Answer : A,B,D

A. Encourage the client to increase fluid intake: This is important to prevent dehydration, which can be a complication of influenza.
B. Wear a mask when caring for the client: Influenza is a highly contagious virus, and wearing a mask can help prevent the spread of infection.
C. Prepare to administer an antibiotic to the client: Antibiotics are not typically used to treat influenza, which is a viral infection. However, if a bacterial infection develops as a complication, antibiotics may be necessary.
D. Place the client in a private room: Isolating the client in a private room can help prevent the spread of influenza to other patients and healthcare workers.
E. Place the client on contact precautions: Influenza is primarily spread through respiratory droplets, so droplet precautions are appropriate. Contact precautions are not necessary for influenza.

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Correct Answer is D

Explanation

D. Weight loss can help improve symptoms of polycystic ovarian syndrome (PCOS) by reducing insulin resistance and androgen levels, which are common issues in PCOS.
A. Thyroid function testing is not specifically related to PCOS management, though thyroid function should be monitored if there are symptoms of thyroid dysfunction.
B. A diet with a low glycemic index is generally recommended for managing PCOS, not a high glycemic index.
C. PCOS is associated with decreased fertility rather than increased fertility. Contraception might be recommended for menstrual regulation, but not necessarily two forms due to increased fertility.

A. "Tremors, nervousness, and insomnia may indicate your dose is too high." B. "Notify your healthcare provider if you begin to lose weight." C. "This medication will require monitoring for increased risk for bleeding." D. "The medication decreases the overproduction of the thyroid hormone thyroxine."

Correct Answer is A

Explanation

A. Levothyroxine is used to replace thyroid hormone in hypothyroidism. Symptoms like tremors, nervousness, and insomnia can indicate that the dose is too high, suggesting possible hyperthyroidism.
B. Weight loss alone is not a primary indicator for adjusting levothyroxine. It is more important to monitor for symptoms of overdosage, such as those described in option A.
C. Levothyroxine does not increase the risk of bleeding. Monitoring is typically focused on thyroid hormone levels rather than bleeding risks.
D. Levothyroxine increases thyroid hormone levels, not decreases them. It is used to supplement the deficient hormone in hypothyroidism.

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A nurse is caring for a 62-year-old client with manifestations of an infection. Exhibits Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

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A nurse is caring for a 62-year-old client with manifestations of an infection.

Exhibits

Which of the following actions should the nurse take? (Select all that apply.)