The nurse measures a client's vital signs according to agency ...

[jlmhmf]

The nurse measures a client's vital signs according to agency policy, as well as: Standard Text: Select all that apply.
 
  1. Before discharge.
  2. At least every 6 hours if the client has had an elevated temperature within the past 24 hours.
  3. Before calling the physician.
  4. Before transfer to a new unit.
  5. On admission to a facility.

Question 2

Appropriate preventive measures for the nurse to take to prevent circulatory overload include: Standard Text: Select all that apply.
 
  1. Practice consistent hand hygiene.
  2. Monitor infusions frequently.
  3. Ensure sterile dressing to the insertion site.
  4. Monitor the insertion site routinely.
  5. Make accurate fluid calculations.

[mk6555]

Answer to Question 1

1,3,4,5
Rationale: The nurse measures the client's vital signs prior to discharge to ensure that the client's condition has not changed.

Answer to Question 2

2,5
Rationale: Consistent hand hygiene is appropriate prevention for septicemia and bacteremia.

[jlmhmf]

Thank you!

[mk6555]

Always glad to help...