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The client with infective endocarditis must be
assessedfrequently by the home health
nurse. Which finding suggests that antibiotic therapy is
noteffective, and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5
degrees C)
A client in a long term care facility complains of
pain. Thenurse collects data about
the client’s pain. The first step in pain assessment is for
the nurseto
A) have the client identify coping methods
B) get the description of the location and intensity of the pain
C) accept the client’s report of pain
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, D) determine the client’s status of pain
The correct answer is C: Accept the client''s report of pain
An 85 year-old client complains of generalized
muscleaches and pains. The first
action by the nurse should be
A) Assess the severity and location of the pain
B) Obtain an order for an analgesic
C) Reassure him that this is not unusual for his age
D) Encourage him to increase his activity
The correct answer is A: Assess the severity and location
of thepain
A 20 year-old client has an infected leg wound
from amotorcycle accident, and the
client has returned home from the hospital. The client is to
keep theaffected leg elevated
and is on contact
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