A nurse is caring for a 62-year-old client with manifestations of an infection.

Exhibits

Which of the following actions should the nurse take? (Select all that apply.)

Encourage the client to increase fluid intake.

Wear a mask when caring for the client.

Prepare to administer an antibiotic to the client.

Place the client in a private room.

Place the client on contact precautions.

Answer and Explanation

Correct Answer : A,B,D

A. Encourage the client to increase fluid intake: This is important to prevent dehydration, which can be a complication of influenza.
B. Wear a mask when caring for the client: Influenza is a highly contagious virus, and wearing a mask can help prevent the spread of infection.
C. Prepare to administer an antibiotic to the client: Antibiotics are not typically used to treat influenza, which is a viral infection. However, if a bacterial infection develops as a complication, antibiotics may be necessary.
D. Place the client in a private room: Isolating the client in a private room can help prevent the spread of influenza to other patients and healthcare workers.
E. Place the client on contact precautions: Influenza is primarily spread through respiratory droplets, so droplet precautions are appropriate. Contact precautions are not necessary for influenza.

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Correct Answer is D

Explanation

A. Vasopressin does not typically increase the client's heart rate; its primary effect is on the kidneys and urine output.
B. Vasopressin generally increases blood pressure by promoting vasoconstriction, not decreases it.
C. Vasopressin will increase, not decrease, urine specific gravity by reducing urine output and concentrating the urine.
D. Vasopressin acts to decrease urine output by increasing water reabsorption in the kidneys, which helps manage diabetes insipidus.

A. Increased mean arterial pressure (MAP) B. Decreased venous return C. Decreased heart rate D. Increased cardiac output

Correct Answer is B

Explanation

A. Distributive shock is associated with decreased MAP, not increased.
B. Decreased venous return occurs in distributive shock due to the pooling of blood in the periphery, leading to reduced preload and decreased cardiac output.
C. Distributive shock typically results in increased heart rate as the body attempts to compensate for decreased blood pressure and venous return.
D. Cardiac output is generally decreased in distributive shock due to reduced venous return and impaired blood flow.

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A nurse is caring for a 62-year-old client with manifestations of an infection. Exhibits Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a student nurse about the effects of vasopressin that is prescribed for a client with diabetes insipidus. Which statement by the student nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who is experiencing pooling of blood in the periphery. Which of the following occurs in a client with distributive shock?

Correct Answer is B

Explanation

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A nurse is caring for a 62-year-old client with manifestations of an infection.

Exhibits

Which of the following actions should the nurse take? (Select all that apply.)