Practice Quiz

NCLEX-RN

Category - Care Management

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Nina the New Nurse received a client from the Emergency Department, admitted for evaluation and treatment of productive cough, fever (103.2), and night sweats for the past 3 days. Nina the New Nurse’s priority action was to place the client in respiratory isolation. What, if anything, did Nina the New Nurse do wrong?
  1. Nina the New Nurse is correct.
  2. Nina the New Nurse should have prioritized monitoring intake/output.
  3. Nina the New Nurse should call physician for approval of care plan.
  4. Nina the New Nurse should monitor vital signs every eight hours.
Explanation
Answer: A -Respiratory isolation is indicated for the signs and symptoms the client is presenting. Monitoring intake and output for a febrile clients is appropriate, although not the first priority. Vital signs every eight hours are not adequate for a client who has a fever.
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