After administering an antipyretic medication, which intervention should the nurse implement?

Use fans to provide external cooling.

Encouraging liberal fluid intake.

Encourage the client to eat a bland diet.

Cover the client with warm blankets.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Use fans to provide external cooling: While fans can help reduce temperature, they may cause chills or discomfort if used excessively. Internal cooling through medication and hydration is more effective and safer than relying on environmental cooling measures alone.

B. Encouraging liberal fluid intake: Fever increases insensible fluid losses through sweating and rapid breathing. Promoting fluid intake helps maintain hydration, supports thermoregulation, and assists the body in clearing toxins or infections more efficiently.

C. Encourage the client to eat a bland diet: Dietary considerations are not directly related to fever reduction. While bland foods may help during illness, they are not a primary intervention after administering an antipyretic.

D. Cover the client with warm blankets: Covering the client with warm blankets may increase body temperature and interfere with the medication’s effect. It is important to avoid excessive warmth after giving an antipyretic, unless the client is shivering or reports feeling cold.

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Correct Answer is B

Explanation

Rationale:
A. Aspiration: Aspiration is typically a concern in clients with impaired swallowing, reduced consciousness, or neurologic disorders. Elevated parathyroid hormone (PTH) does not directly affect swallowing function or airway protection.

B. Falls: Elevated PTH levels cause hypercalcemia, which can lead to muscle weakness, fatigue, confusion, and bone demineralization. These effects increase the client’s risk for falls and fractures, making fall prevention a key safety priority.

C. Suicide: While chronic illness can impact mood, elevated PTH levels are not directly associated with suicidal ideation. Psychiatric monitoring is important but not the primary safety focus in this case.

D. Hypothermia: PTH imbalance does not significantly affect thermoregulation. Hypothermia is not a typical complication of elevated PTH levels and does not require focused preventive measures in this scenario.

A. Raise the head of the bed to Fowler's position. B. Provide oxygen per nasal cannula. C. Administer a prescribed dose of furosemide. D. Monitor urinary output.

Correct Answer is ["A","B","C","D"]

Explanation

Rationale:
A. Raise the head of the bed to Fowler's position: This immediately relieves orthopnea by improving lung expansion and reducing the work of breathing. Positioning is a first-line, non-invasive intervention to enhance respiratory comfort.

B. Provide oxygen per nasal cannula: Oxygen improves tissue oxygenation and prevents hypoxia progression. Although the saturation is borderline normal, oxygen can reduce respiratory effort in the context of fluid overload.

C. Administer a prescribed dose of furosemide: Diuretics treat the underlying cause—fluid overload related to possible heart failure. Removing excess fluid will decrease pulmonary congestion and peripheral edema.

D. Monitor urinary output: This evaluates the effectiveness of the diuretic therapy. Adequate urine output indicates that fluid is being removed and helps prevent worsening heart failure or electrolyte imbalance.

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After administering an antipyretic medication, which intervention should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with elevated parathyroid hormone levels. Which safety precaution should the nurse include in the plan of care?

Correct Answer is B

Explanation

Correct Answer is ["A","B","C","D"]

Explanation

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