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

Apply a bath blanket between the client and a cooling blanket.

Place ice packs on the client's neck and behind the knees.

Give the client a sponge bath using an alcohol-water solution.

Cover the client with heavy blankets after shivering subsides.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is D

Explanation

Ask a second nurse to record her signature when wasting any unused portion of the controlled substance.
This is because if a controlled substance is wasted, this waste must be witnessed by and documented by the wasting nurse and another nurse.
Choice A is wrong because the count total of the controlled substance should be verified before removing the amount needed, not after.
Choice B is wrong because the wasted portion of the controlled substance should not be placed in the sharps container.
It should be disposed of according to facility/agency policy.
Choice C is wrong because any discrepancy in the count total of the controlled substance should be reported immediately, not after administration 1.

A. The cephalic vein on the back of the right hand. B. The cephalic vein in the left distal forearm. C. The basilic vein in the right antecubital fossa. D. The radial vein on the left wrist.

Correct Answer is B

Explanation

It is recommended that IVs are placed in the arm on the opposite side of your surgery, if possible.

Choice A is wrong because it involves placing the IV catheter on the same side as the mastectomy.
Choice C is wrong because it involves placing the IV catheter on the same side as the mastectomy.
Choice D is wrong because it involves placing the IV catheter on a vein that is not commonly used for IV therapy.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is preparing to insert an IV catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating IV therapy?

Correct Answer is B

Explanation

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