how should a nurse manage a patient with a fever

ATI LPN

ATI PN Comprehensive Predictor 2023 Quizlet

1. How should a healthcare provider manage a patient with a fever?

A. Administer antipyretics and monitor vital signs
B. Provide cold compresses and ensure adequate hydration
C. Encourage the patient to rest and increase fluid intake
D. Restrict fluid intake and provide bed rest

Correct answer: A

Rationale: When managing a patient with a fever, the appropriate approach involves administering antipyretics to reduce the fever and monitoring the patient's vital signs to assess their response to treatment. Administering antipyretics helps to lower the body temperature and manage fever symptoms effectively. Monitoring vital signs is crucial to ensure the patient's condition is improving. Providing cold compresses, as mentioned in choice B, can help in managing fever symptoms, but it does not address the root cause of the fever. Encouraging the patient to rest, as stated in choice C, is beneficial for recovery, but increasing fluid intake is essential to prevent dehydration. Restricting fluid intake and providing bed rest, as in choice D, can lead to dehydration and hinder the body's ability to fight off the infection causing the fever. Therefore, the best course of action for a healthcare provider is to administer antipyretics while closely monitoring the patient's vital signs.

2. A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statements by the nurse indicates an understanding of this role?

A. I will let the client know that I am available as the interpreter.
B. I will receive a small fee for interpreting for this client.
C. I am glad I am available today, but when I am not, you can use a family member.
D. I will let the client know that an interpreter is unavailable during the night shift.

Correct answer: A

Rationale: Choice A is correct because the nurse should inform the client of their availability to interpret, ensuring that communication is clear and culturally appropriate. Choice B is incorrect as interpreters in healthcare settings usually do not receive fees for providing interpretation services. Choice C is incorrect because suggesting the use of a family member as an interpreter may not ensure accurate communication, as they may not be trained or impartial. Choice D is incorrect because stating that an interpreter is unavailable during the night shift does not address the current situation where the nurse has agreed to interpret for the client.

3. While caring for a client with an IV infusion who develops redness and warmth at the IV site, what is the most appropriate intervention?

A. Elevate the IV site and apply an ice pack
B. Administer an anti-inflammatory medication
C. Apply a cold compress to the IV site
D. Discontinue the IV and notify the provider

Correct answer: D

Rationale: The correct intervention when a client develops redness and warmth at the IV site, indicating phlebitis, is to discontinue the IV and notify the provider. This is crucial to prevent further complications. Elevating the IV site and applying an ice pack (Choice A) may not address the underlying issue of phlebitis. Administering an anti-inflammatory medication (Choice B) is not the primary intervention for phlebitis. Applying a cold compress (Choice C) may provide temporary relief but does not address the need to discontinue the IV when phlebitis occurs.

4. What is the most appropriate safety measure for a client using home oxygen?

A. Store oxygen tanks upright when not in use
B. Ensure oxygen tanks are kept upright at all times
C. Allow family members to smoke in designated areas
D. Keep oxygen equipment at least 10 feet away from heat sources

Correct answer: B

Rationale: The correct answer is to ensure oxygen tanks are kept upright at all times. This is important to prevent the tanks from falling over, which can lead to injuries or tank damage. Choice A is incorrect because oxygen tanks should not be stored in a closet when not in use, as this can lead to poor ventilation and potential hazards. Choice C is incorrect because smoking near oxygen tanks poses a significant fire risk. Choice D is incorrect because while it is important to keep oxygen equipment away from heat sources, ensuring the tanks are kept upright is a more critical safety measure.

5. A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching?

A. Drink plenty of fluids after meals
B. Increase sugar intake
C. Eat smaller, more frequent meals
D. Avoid foods high in sugar content

Correct answer: D

Rationale: The correct instruction the nurse should include in teaching a client with dumping syndrome is to 'Avoid foods high in sugar content.' Dumping syndrome occurs when high-sugar foods move too quickly into the small intestine, leading to symptoms like abdominal cramps, diarrhea, and bloating. By avoiding foods high in sugar content, the client can reduce these symptoms. Choices A, B, and C are incorrect. Drinking plenty of fluids after meals may exacerbate symptoms by speeding up the movement of food through the digestive system. Increasing sugar intake would worsen dumping syndrome symptoms. While eating smaller, more frequent meals is a good strategy, the key emphasis should be on avoiding high-sugar foods.