A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

Document assessment findings and interventions after providing care for a group of clients.

Delay cleaning personal work area until the end of the shift.

Gather supplies for a client's dressing change after removing the old dressing.

Complete activities for one client before moving to the next client.

Answer and Explanation

The Correct Answer is D

A.   It's better to document assessment findings and interventions soon after interventions to ensure accuracy and avoid forgetting details.
B.   Delaying cleaning personal work area until the end of the shift could lead to clutter and inefficiency throughout the shift.
C.   Gather supplies for a client's dressing change after removing the old dressing.

Supplies should be gathered beforehand to streamline the process and reduce the time the wound is exposed.
D. This approach helps maintain focus and efficiency, reducing the chance of errors and ensuring that care is fully and effectively provided to one client before moving to another.

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Correct Answer is B

Explanation

A: Tachycardia might occur due to the fever itself but isn't a specific reaction to the cooling method.
B: Shivering is an adverse reaction because it indicates that the body is trying to generate heat to counteract the cooling effect of the blanket, which can increase metabolic demand and is counterproductive.
C: Flushing is typically related to fever or other causes but not directly to the adverse reaction of cooling.
D: Restlessness can be caused by discomfort or the fever itself, not specifically by cooling.

A. Painful, tender breast B. Temperature C. Chills D. Foul-smelling lochia

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

Explanation

Mastitis: A, B, C

Endometritis: B, C, D

Rationale:
A. This finding is consistent with mastitis. Mastitis is characterized by inflammation of the breast tissue, often presenting with pain, tenderness, warmth, and redness in the affected breast.
B. This finding can be indicative of both mastitis and endometritis. A fever, as indicated by an elevated temperature (38.8°C or 101.9°F), is a common symptom of both mastitis and endometritis. It suggests an inflammatory response or infection in the body.
C. This finding is also consistent with both mastitis and endometritis. Chills often accompany fever and can be a sign of systemic infection or inflammation.
D. This finding is more indicative of endometritis. Endometritis involves infection or inflammation of the uterine lining, which can result in foul-smelling lochia. Foul- smelling lochia may indicate the presence of infection within the uterus.

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A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling?

Correct Answer is B

Explanation

A nurse is caring for a client who is 4 days postpartum following a cesarean birth Exhibits For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis. Each finding may support more than 1 disease process

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

Explanation

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