单项选择题

A client is admitted to the hospital with a productive cough, night sweats, and a fever. Which action is most important in the initial plan of care

A．Assessing the client's temperature every 8 hours.
B．Placing the client in respiratory isolation.
C．Monitoring the client's fluid intake and output.
D．Wearing gloves during all client contact.
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单项选择题
A client refuses his evening dose of haloperidol (Haldol) then becomes extremely agitated in the day room while other clients are watching television. He begins cursing and throwing furniture. The nurse's first action is to
A．check the client's medical record for an order for an IM as needed dose of medication for agitation.
B．place the client in full leather restraints.
C．call the physician and report the behavior.
D．remove all other clients from the day room.
单项选择题
An adolescent girl who is receiving chemotherapy for leukemia is admitted for pneumonia. The adolescent's platelet count is 50,000 μL. Which of the following would be inappropriate to include in the plan of care
A．A sign over the bed that reads "NO NEEDLE STICKS AND NOTHING PER RECTUM".
B．Two peripheral IV intermittent infusion devices, one for blood draws and one for infusions.
C．Administration of oxygen at a rate of 4 L/min using a nonhumidified nasal cannula.
D．Use of a tympanic membrane sensor to measure the client's temperature at the bedside.
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