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Author Question: The nurse is assigned to 4 clients who are complaining of elevated temperature. Based on their ... (Read 39 times)

hubes95

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The nurse is assigned to 4 clients who are complaining of elevated temperature. Based on their admitting diagnoses, the clients are at risk for developing infection. Which client should the nurse see first?
 
  A) postoperative day 1 left hip replacement
  B) client who received 2 units of blood
  C) cancer client undergoing chemotherapy
  D) client who underwent colostomy reversal surgery

Question 2

A client is being admitted to the hospital for elevated temperature for the past 24 hours. He had his right knee replaced 4 days ago in the same facility. Which assessment is a priority for now?
 
  A) Homan's sign
  B) Auscultate lung sounds.
  C) urine characteristics
  D) frequency of diarrhea episodes



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maya.nigrin17@yahoo.com

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Answer to Question 1

Ans: C
Feedback:
Drug therapy can cause defects in the host's response to infection. Steroids, chemotherapy, antimetabolites, and inappropriate or prolonged use of antibiotics can increase the risk of infection. Super infection can and often does occur in these situations.

Answer to Question 2

Ans: B
Feedback:
After surgery, an elevated temperature may be normal initially, but if it continues, it may signal a possible infection. During the first postoperative day, an elevated temperature is most likely caused by the physiologic stress of surgery or by atelectasis. Fever during the second to fifth postoperative day most likely results from pneumonia. A fever on the second to eighth postoperative day suggests UTI. One occurring from the third to the 11th postoperative day often suggests a wound infection. A fever developing weeks or months after surgery may suggest a deep operative infection or infected prosthetic device.



hubes95

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Both answers were spot on, thank you once again




 

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