问题 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.

答案

参考答案:B

解析:

Because the client’s signs and symptoms suggest a respiratory infection (possibly tuberculosis), respiratory isolation is indicated. Assessing the temperature every 8 hours isn’t frequent enough for a client with a fever. Monitoring fluid intake and output may be required, but the client should be placed in isolation first. The nurse should only wear gloves for contact with mucous membranes, broken skin, blood, and body fluids and substances.

单项选择题
单项选择题