Author Question: The nurse working in an outpatient clinic provides care for a client who arrives a few minutes late ... (Read 192 times)

cdr_15 · **on:** Jun 25, 2018

The nurse working in an outpatient clinic provides care for a client who arrives a few minutes late for an appointment. The client is diaphoretic with a respiratory rate of 24 breaths per minute. Which is the priority action by the nurse?

1. Call the health care provider STAT to examine the client.
2. Apply oxygen and sit the client up.
3. Assess the client.
4. Document the client's status, and place the chart so that the primary care provider is aware the client is ready to be seen.

Question 2

The nurse is caring for a client with a fever of 101.8 F oral. Which other vital signs would the nurse anticipate would be The nurse is caring for a client with a fever of 101.8 F oral. Which other vital signs would the nurse anticipate would be affected?

1. Pulse rate
2. Respiratory rate
3. Diastolic blood pressure
4. Systolic blood pressure
5. Oxygen saturation

vish98 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3

Although the client's symptoms indicate a potential problem, the nurse first must assess the client. Perhaps the client ran up several flights of stairs because he was running late for an appointment. It would be irresponsible practice to treat the client before assessing him first. After assessing the client, the nurse can determine the best course of action.

Answer to Question 2

Correct Answer: 1,2

Pulse and respiratory rate will increase with fever. The client's oxygen saturation might remain normal with a fever unless his respiratory status is compromised, and then the increased demand for oxygen could cause a drop in oxygen saturation. Blood pressure is usually not significantly impacted by fever.