Question

2. The nurse has cared for a client for 2 days. The client was afebrile for 24 hours the day before and now has a fever of 101°F. What type of fever does the nurse recognize the client is experiencing? a. Remittent b. Constant C. Crisis d. Relapsing Rationale: 3. The nurse obtains a heart rate from a client at a rate of 112. What term should the nurse use when documenting this heart rate? a. Tachycardia b. Bradycardia C. Irregular d. Palpitation Rationale: 4. The nurse is preparing to obtain an oral temperature from a client. In what situation should the nurse delay taking the temperature for at least 15 minutes? Select all that apply a. The client is chewing gum. b. The client just drank a cup of coffee. c. The client just had a chest x-ray. d. The client has just finished smoking a cigarette. e. The client is chewing tobacco Rationale 5. The nurse observes that a client's respirations are slow and shallow, then gradually become faster and deeper, and then stop, with the cycle then repeating itself. How should the nurse document this type of respiration? a. Cheyne-Stokes respiration b. Eupneic respirations c. Orthopnea d. Dyspnea Rationale

Answer 1

2. Answer ; D) relapsing.

Rationale ; In the given scenario the patient is normal and not having any kind fever for the day before, but now he/ she is experiencing the fever for 101 F, this type getting normal and reoccur of the fever with episode is termed as the option which are mentioned above. The other types of fever in the other option are not related to this scenario.

3. Answer ; A) Tachycardia

Rationale ; In this given case, the patient had a heart rate of 112 per minute. Now he is experiencing the heart rate which is higher than the usual range, hence it would be considered as abnormal and it is termed as the above mentioned one.

4. Answer ; B) the client just drank a cup of coffee
D) the client had just finished smoking of cigarette

Rationale ; The nurse should delay her mentioned procedure while the client had taken any hot or cold item for within a hour. Here in the mentioned option the client had consumed some hot items. Hence the nurse should delay her taking procedure.

5. Answer ; A) Cheyne - stroke respiration.