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A client is admitted with infection and a high fever. Which assessments by the nurse take priority? (Select all that apply.)

A) Skin turgor
B) Pulse quality
C) Blood pressure
D) Bowel sounds
E) Respiratory effort
F) Mental status

User Pieter VDE
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Final answer:

The nurse's priority assessments for a client with infection and high fever include pulse quality, blood pressure, respiratory effort, and possibly mental status. These assessments provide immediate information about vital bodily functions affected by the infection and potential systemic involvement.

Step-by-step explanation:

The priority assessments for a client admitted with infection and high fever that should be conducted by the nurse are B) Pulse quality, C) Blood pressure, and E) Respiratory effort. Mental status (F) might also take priority depending on the severity of the fever and signs of infection.

When a patient is admitted with a high fever and signs of an infection, it is vital to assess for indicators of their current physiological state. The priority assessments include evaluating the patient's respiratory effort to ensure adequate oxygenation and ventilation. The patient's pulse quality is important to assess the heart rate and rhythm, which can be indicative of systemic infection responses. Monitoring blood pressure is essential for detecting signs of sepsis or shock, which may accompany a severe infection. Furthermore, assessing the mental status is crucial as changes might reflect the brain's response to fever and possible systemic involvement of the infection. While skin turgor and bowel sounds contribute to the overall assessment, they are less critical in the immediate assessment, and more indicative of hydration status and gastrointestinal function respectively, which, while important, may not change immediate management in the setting of acute infection and fever.

User Giordanolima
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