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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Eating a light carbohydrate snack before bedtime can promote sleep by providing a small increase in insulin, which facilitates the entry of tryptophan into the brain, promoting the production of serotonin and melatonin.

B. Taking a 30-minute daily nap, especially close to bedtime, may interfere with nighttime sleep.
C. Exercising 1 hour before bedtime can be stimulating and may disrupt sleep patterns.
D. Drinking a cup of hot cocoa before bedtime may not be recommended as it contains caffeine, which can interfere with sleep.

A. Open the first flap of the sterile kit toward himself. B. Ensure that the sterile field is located below waist level. C. Place dry, sterile supplies 1/2 inch from the edge of the sterile field. D. Apply sterile gloves after preparing the sterile field.

Correct Answer is C

Explanation

A. Opening the first flap of the sterile kit away from the body helps maintain the sterility of the contents.
B. The sterile field should be above waist level to avoid contamination.

C. Placing dry, sterile supplies 1/2 inch from the edge of the sterile field helps prevent contamination of the items.
D. Sterile gloves should be donned before preparing the sterile field to avoid contamination.

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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?

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