A nurse is caring for a client.

Exhibit 1 Nurses' Notes Day 1: Exhibit 2 Exhibit 3 Client reports fatigue, weight loss, night sweats, and a persistent cough.

Performed a purified protein derivative test on the client and obtained a QuantiFERON-TB Gold blood test as prescribed.

Bilateral breath sounds with crackles and scattered wheezes throughout.

Cough productive for yellow, purulent sputum.

What are the first two actions the nurse should take?

Administer antibiotics and bronchodilators.

Initiate airborne precautions and isolation.

Start the client on cough suppressants and antihistamines.

Obtain sputum culture and chest X-ray.

Answer and Explanation

The Correct Answer is D

The first two actions the nurse should take are to obtain a sputum culture and a chest X-ray.
These tests can help diagnose the cause of the client’s symptoms and guide treatment.
Choice A is wrong because administering antibiotics and bronchodilators should only be done after a diagnosis has been made.
Choice B is wrong because airborne precautions and isolation may not be necessary depending on the cause of the client’s symptoms.
Choice C is wrong because cough suppressants and antihistamines may not be appropriate treatments depending on the cause of the client’s symptoms.

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Correct Answer is D

Explanation

In general, parental (or legal guardian) consent is required for any diagnostic or surgical procedure performed on a child under the age of 181.
Choice A is wrong because the mother’s 21-year-old sibling is not a parent or legal guardian of the infant.
Choice B is wrong because the infant’s provider cannot sign the consent form on behalf of the infant.
Choice C is wrong because the infant’s grandparent cannot sign the consent form unless they are a legal guardian of the infant.

A. Apply a bath blanket between the client and a cooling blanket. B. Place ice packs on the client's neck and behind the knees. C. Give the client a sponge bath using an alcohol-water solution. D. Cover the client with heavy blankets after shivering subsides.

Correct Answer is A

Explanation

A nurse should apply a bath blanket between the client and a cooling blanket when caring for a client who has a high fever.
This can help regulate the temperature of the environment and make it more comfortable for the patient.
Choice B is wrong because placing ice packs on the client’s neck and behind the knees is not recommended as it can cause further problems.
Choice C is wrong because giving the client a sponge bath using an alcohol-water solution is not recommended.
Choice D is wrong because covering the client with heavy blankets after the shivering subsides is not recommended as it can increase body temperature.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who is to undergo surgery. The nurse should identify which of the following individuals should sign the consent form?

Correct Answer is D

Explanation

A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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