A client is started on antibiotic therapy for a respiratory ...

[silviawilliams41]

A client is started on antibiotic therapy for a respiratory infection. Which goal is appropriate for this client?
 
  A) The client will have no evidence of sweating.
  B) The client's mucus membranes will be dry.
  C) The client's temperature will be within normal limits within 48 to 72 hours of the administration of the antibiotic.
  D) The client's temperature will approach normal within 60 minutes of the administration of the antibiotic.

Question 2

The nurse assesses a client's temperature to be 99.8 F. Which nursing diagnosis would be appropriate for the client at this time?
 
  A) Hyperthermia
  B) Anxiety
  C) Risk for Imbalanced Body Temperature
  D) Deficient Fluid Volume

[vkodali]

Answer to Question 1

Answer: C

A goal of care for a client receiving antibiotic therapy for an infection is for the temperature to be within normal limits within 48 to 72 hours after starting the antibiotic. The temperature approaching normal within 60 minutes would be an appropriate goal if the client were receiving antipyretics. Sweating is evidence that the temperature is decreasing, a desired outcome. Dry mucus membranes are evidence of an elevated temperature and are not a desired outcome.

Answer to Question 2

Answer: C

The client's temperature is slightly elevated, which places the client at risk for an imbalance in body temperature. Hyperthermia would be indicated if the client's temperature were greater than 102 F. There is not enough information to determine whether the client is or is not experiencing anxiety or deficient fluid volume.