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. What are common signs of hypoglycemia?

A. Shakiness or Tremors
B. Sweating
C. Hunger
D. Confusion or Irritability

Correct answer: A

Rationale: The correct signs of hypoglycemia include shakiness or tremors, sweating, and hunger. These symptoms indicate low blood sugar levels. Confusion or irritability are more associated with severe hypoglycemia, while the immediate treatment for hypoglycemia involves providing a source of glucose to raise blood sugar levels quickly.

3. A client is being taught about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching?

A. I will take this medication on an empty stomach.
B. If I forget to take a dose, I can take it later on the same day.
C. I will skip my dose if I forget to take it.
D. I can take an additional dose if I miss one.

Correct answer: B

Rationale: The correct answer is B because taking warfarin later on the same day if a dose is missed helps maintain therapeutic levels. Choice A is incorrect because warfarin should be taken with food to enhance absorption. Choice C is incorrect as skipping a dose can lead to fluctuations in warfarin levels. Choice D is incorrect as taking an additional dose can increase the risk of bleeding.

4. A nurse is teaching a client who has Parkinson's disease about dietary modifications. Which of the following instructions should the nurse include?

A. Eat high-protein, high-calorie meals
B. Drink milk with every meal
C. Avoid foods high in carbohydrates
D. Drink carbonated beverages with meals

Correct answer: A

Rationale: The correct answer is A: 'Eat high-protein, high-calorie meals.' Individuals with Parkinson's disease benefit from consuming high-protein, high-calorie meals to help maintain muscle mass and energy levels. This dietary modification is important in managing the symptoms of Parkinson's disease. Choice B is incorrect because there is no specific requirement for drinking milk with every meal for individuals with Parkinson's disease. Choice C is incorrect as carbohydrates are also essential for a balanced diet and should not be completely avoided. Choice D is incorrect as carbonated beverages may interfere with the absorption of nutrients from food and are not recommended for individuals with Parkinson's disease.

5. A nurse is reinforcing discharge instructions with the parent of an infant who has rotavirus. Which of the following statements by the parent indicates an understanding of the teaching?

A. I will avoid feeding my baby for 12 hours
B. I will apply diaper cream during each diaper change
C. I will give my baby water between feedings
D. I will apply warm compresses for my baby's comfort

Correct answer: B

Rationale: The correct answer is B. Applying diaper cream during each diaper change is important to prevent skin breakdown in infants with rotavirus. Rotavirus can cause diarrhea, which can lead to skin irritation. Avoiding feeding the baby for 12 hours (choice A) can lead to dehydration and is not appropriate. Giving water between feedings (choice C) can further contribute to dehydration. Applying warm compresses (choice D) may provide comfort but does not address the specific issue of preventing skin breakdown associated with rotavirus.