The Nurse Has Entered a Client's Room to Find the Client

question 10

Multiple Choice

The nurse has entered a client's room to find the client diaphoretic (sweat-covered) and shivering, inferring that the client has a fever. How should the nurse best follow up this cue and inference?

• A) Measure the client's oral temperature.
• B) Ask a colleague for assistance.
• C) Give the client a clean gown and warm blankets.
• D) Obtain an order for blood cultures.

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Definitions:

Contingency Planning

Planning that identifies alternative courses of action to take when things go wrong.

Trigger Points

Specific conditions or events that initiate a particular action, reaction, or series of events.

Contingency Planning

The process of preparing for unexpected events by developing strategies to minimize impacts and continue operations.

Early Identification

The process of recognizing potential issues, opportunities, or conditions at an initial stage to allow for timely intervention.