A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?

Hypotension

Tachycardia

Dyspnea

Dry cough

Answer and Explanation

The Correct Answer is C

A. Hypotension is a concern but may occur for various reasons and is not as immediately life-threatening as dyspnea.

B. Tachycardia can indicate a problem but is less urgent than respiratory distress.

C. Dyspnea is the priority as it may indicate a recurrence of pulmonary embolism or another life-threatening respiratory issue.

D. A dry cough is a less urgent symptom and does not require immediate reporting.

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Correct Answer is C

Explanation

A. Take your temperature every night before going to bed: Nighttime readings are not basal body temperatures.

B. Take your temperature 1 hour after getting out of bed: This does not reflect the true basal temperature.

C. Take your temperature immediately after waking and before getting out of bed: This ensures an accurate basal temperature, as any activity can alter the reading.

D. Take your temperature within 30 minutes after your first morning void: BBT should be measured before any activity, including voiding.

A. Use droplet precautions when caring for the child. B. Administer aspirin to the child for fever. C. Assign the child to a negative air pressure room. D. Assess the child for Koplik spots.

Correct Answer is C

Explanation

A. Varicella (chickenpox) requires airborne, not droplet, precautions.

B. Aspirin is contraindicated in children with viral illnesses due to the risk of Reye's syndrome.

C. A negative air pressure room is necessary to prevent the airborne spread of varicella.

D. Koplik spots are associated with measles, not varicella.

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A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?

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