Which nursing interventions are appropriate for a 38-year-old patient admitted with a diagnosis of Dehydration who has a temperature of 101.5F (38.6C)? Select all that apply.
a. Provide oral and/or IV fluids.
b. Take vital signs every 2 hours.
c. Contact the provider for respirations of 18 breaths/min.
d. Keep the patient on a nothing by mouth (NPO) diet until defervescence occurs.
e. Apply a cooling blanket every 2 hours.
Question 2
The nurse caring for a postsurgical patient obtains an oral temperature reading of 103F. She contacts the surgeon, obtains an order, and administers acetaminophen 650 mg orally. Which clinical information should the nurse document? Select all that apply.
a. Oral temperature reading of 102F
b. The call to the surgeon to obtain the order
c. Administering acetaminophen 650 mg orally
d. All of the above
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