Question

A 17-year-old adolescent is brought to the Emergency Department by both parents because the adolescent has been coughing and running a fever with flu-like symptoms for the past 24 hours. Which intervention should the nurse implement first?A) Assess the client’s temperature.B) Place a mask on the client’s face.C) Determine the client’s blood pressure.D) Obtain a chest x-ray per protocol.

Answer 1

Answer: The intervention that the nurse should implement first is Place a mask on the client’s face. Option B

Explanation:

Flu- like cough symptoms should be handled first by the nurse by placing a mask on the client' s face. This will help minimise the spread of causative agent to other patients, health staff and family members around the affected patient. The combination of cough and flu-like fever may be an indication of influenza infection and as such, be treated until proven otherwise.