A nurse is caring for a client who has a temperature of 38.7° C (101.7° F). Which of the following nursing interventions is appropriate?
Keep the client's bed linens dry.
Apply an alcohol-water solution to the client's skin.
Encourage the client to drink 1,500 mL of fluid per day.
Apply ice packs to the groin.
The Correct Answer is A
A. Keeping the client's bed linens dry helps maintain the client's comfort and prevents chilling associated with damp linens.
B. Applying an alcohol-water solution may increase evaporative cooling and is not a standard intervention for fever.
C. Encouraging increased fluid intake is appropriate to promote hydration, but the specific amount should be individualized based on the client's condition and needs.
D. Applying ice packs to the groin is not a recommended site for cooling and may cause discomfort. The choice of cooling measures should be appropriate and based on the healthcare provider's orders or institutional protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Surveying the target population helps identify specific interests and health concerns, ensuring that the programs are tailored to the needs of older adults.
B. Determining the availability of health care providers is important but may not directly address the specific interests or concerns of the older adults.
C. Basing the programs on their developmental stage is important, but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences.
D. Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.
Correct Answer is A
Explanation
A. The client's belief that his needs will be met through education reflects intrinsic motivation, which is likely to enhance the client's commitment to learning and self-care.
B. Seeking family approval may be a motivator, but it is an external factor, and intrinsic motivation is generally more effective for sustained behavior change.
C. While the nurse explaining the need for education is important, the client's personal belief and understanding of the value of education are key for motivation.
D. The nurse's empathy is essential for building rapport, but the client's belief in the benefits of education is more directly related to motivation.
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