Author Question: The nurse has entered a client's room to find the client diaphoretic (sweat-covered) and shivering, ... (Read 43 times)

tnt_battle · **on:** Jul 23, 2018

The nurse has entered a client's room to find the client diaphoretic (sweat-covered) and shivering, inferring that the client has a fever. How should the nurse best follow up this cue and inference?

A) Measure the client's oral temperature.
B) Ask a colleague for assistance.
C) Give the client a clean gown and warm blankets.
D) Obtain an order for blood cultures.

Question 2

A novice nurse collects data on a newly admitted client. Upon evaluation of this data, the nurse provides an erroneous interpretation. What is a corrective action for this interpretation?

A) Encourage the novice nurse to independently observe the same situation with a peer, validate the data, and discuss the situation afterward.
B) Encourage the novice nurse to develop his or her own tool for data collection.
C) Encourage the novice nurse to collect and interpret the data for the client repeatedly, until the novice nurse arrives at the correct interpretation.
D) Encourage the novice nurse to meet with the nurse manager to discuss the situation and seek mentoring for communication skills.

JaynaD87 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A

An inference must be followed by a validation process. In this case, the inference of fever is best validated or rejected by measuring the client's temperature. This should precede interventions such as blood work or even providing a warm blanket.

Answer to Question 2

Ans: A
The novice nurse can improve interpretation skills by independently observing the same situation with a peer, comparing notes afterward, and role-playing various validation techniques.