Jenny, a nursing student working on a medical unit in a pediatric ...

[lb_gilbert]

Jenny, a nursing student working on a medical unit in a pediatric hospital, was caring for Helen, a 5-year-old child who was admitted with meningitis. Helen was admitted to the hospital with a fever of 104.5 F and nuchal rigidity.
 
  She responded to antipyretics that were ordered. In addition, Jenny instructed Helen's mother to help reduce the fever by limiting the number of blankets covering Helen. Jenny recognized that additional teaching was necessary when Helen's mother made which of the following statements? A. Helen is more comfortable now that her fever is dropping.
  B. I will call you if Helen feels warm.
  C. Helen's fever is dropping because she is shivering.
  D. I will replace Helen's heavy sleeper with lighter-weight pajamas.

Question 2

A 56-year-old immigrant from the Czech Republic has diabetes and hypertension. She lives with her daughter whose job requires her to travel. The patient speaks English very well.
 
  The community health nurse knows that she may be a vulnerable patient because of which of the following? A. Her age
  B. Her immigration status
  C. Her diabetes
  D. Her hypertension

[guyanai]

Answer to Question 1

C
Shivering is counterproductive because of the heat produced by muscle activity.

Answer to Question 2

B
Frequently, vulnerable patients come from varied cultures, have different beliefs and values, face language barriers, and have few sources of social support.