The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.4°F.

Which action should the nurse prioritize?

Continue to monitor for another hour.

Administer an antipyretic.

Assist the client in ambulation.

Notify the RN; she will notify the provider.

Answer and Explanation

The Correct Answer is D

A postpartum fever is defined as a temperature greater than 100.4 degrees F (38.0 degrees C) on at least two occasions.
These fevers cannot be ignored as they can represent serious infections. The first task is to identify the source.
Choice A is not correct because continuing to monitor for another hour may delay necessary treatment.
Choice B is not correct because administering an antipyretic may only treat the symptom and not address the underlying cause of the fever.
Choice C is not correct because assisting the client in ambulation does not address the underlying cause of the fever.

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Correct Answer is C

Explanation

Elevating the head of the bed can help to reduce pressure on the cervical spine and promote comfort for the client.
Choice A is not correct because a pelvic girdle is not used with halo traction.
Choice B is not correct because placing the client in a supine position can increase pressure on the cervical spine.
Choice D is not correct because elevating the foot of the bed would not provide any benefit for a client in halo traction.

A. "The most common drug used by teenagers is alcohol.". B. "It won't really hurt teenagers if they try tobacco.". C. "Even teenagers need a release from the pressures they face.". D. "Every teenager experiments with substances.".

Correct Answer is A

Explanation

“The most common drug used by teenagers is alcohol.” According to the National Institute on Drug Abuse (NIDA), alcohol is one of the most commonly used drugs among teenagers.
Choice B is incorrect because tobacco use can have harmful effects on teenagers.
Choice C is incorrect because using substances as a release from pressure is not a healthy coping mechanism.
Choice D is incorrect because not every teenager experiments with substances.

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The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.4°F. Which action should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse is discussing teenage substance use with a group of caregivers of adolescent children. Which statement made by the caregivers is most accurate regarding substance use disorders in teens?

Correct Answer is A

Explanation

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The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.4°F.

Which action should the nurse prioritize?