A client with a body temperature of 104F is entering the flush ...

[ec501234]

A client with a body temperature of 104F is entering the flush phase of the fever. To assist this client, the nurse will:
 
  1. Cover the client with warm blankets.
   2. Restrict fluids.
   3. Cover the client with a light sheet.
   4. Provide warmed intravenous fluids.

Question 2

A 34-year-old client who is at her annual gynecologic examination is being taught about early screening for breast cancer. The client has a sister and mother with a history of breast cancer.
 
  Which action by the client demonstrates good screening techniques for someone with her family history? 1. Routine breast exams to begin after age 35
   2. Reporting of any changes in breast tissue to the health provider at the next routine visit
   3. Annual screening mammography starting at age 40
   4. Clinical breast examination every three years

[jomama]

Answer to Question 1

3. Cover the client with a light sheet.

Rationale:
During the flush phase of a fever, the client's body is attempting to adjust the temperature set-point lower. Nursing measures are implemented in order to increase the body's heat loss. Covering the client with a light sheet is the intervention to use at this time. Warm blankets and warm intravenous fluids will increase the body's temperature. Restricting fluids could lead to dehydration and a higher body temperature.

Answer to Question 2

4. Clinical breast examination every three years

Rationale:
American Cancer Society guidelines for cancer screening include routine breast self-examination starting at age 20; prompt reporting of any change in breast tissue to healthcare provider; clinical breast examination every three years from ages 20 to 39, and yearly thereafter; annual screening mammography starting at age 40, except in women at increased risk, who may have more frequent mammography or other tests such as breast ultrasound exams.

[ec501234]

Thank you!

[jomama]

Always glad to help...