Which action is most important in the initial care plan? - ProProfs Discuss
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Which action is most important in the initial care plan?
A client is admitted to the facility with a productive cough, night sweats, and a fever.



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

This question is part of basic physical care (part 1)

Asked by Henry, Last updated: Oct 16, 2020

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2 Answers

Bobby Rickets

Bobby Rickets

Bobby Rickets
Bobby Rickets, Content Reviewer

Answered Dec 18, 2018

At the beginning of a patient’s visit to a hospital, there are several things that must be done during the initial care plan. This occurs after the nurse has already assessed and diagnosed the patient.

For example, if a patient is admitted to the hospital because he is suffering from a cough. He tells the nurse that he is having night sweats and a fever, she will need to implement a plan. She may realize that he has a respiratory problem.

Therefore she will place the patient in the respiratory isolation. This means that the patient could be contagious and he could also worsen if exposed to other germs. The nurse must wear a mask to enter the room where this patient is staying.

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John Smith

John Smith

John Smith
John Smith

Answered Sep 09, 2016

Placing the client in respiratory isolation-rationale: because the clients signs and symptoms suggest a respiratory infection (possibly tuberculosis), respiratory isolation is indicated. every 8 hours isnt frequent enough to assess the temperature of a client with a fever. monitoring fluid intake and output may be required, but the client should first be placed in isolation. the nurse should wear gloves only for contact with mucous membranes, broken skin, blood, and other body fluids and substances.client needs category: safe, effective care environmentclient needs subcategory: safety and infection controlcognitive level: analysisreference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 644.
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