A nurse at an urgent care clinic is contributing to the plan of care for a client following a near drowning while attempting to walk across a frozen pond. Which of the following interventions should the nurse recommend?

Replace wet clothing with warmed blankets.

Use an axillary thermometer to monitor the client's temperature.

Assist the client to perform range-of-motion exercises.

Administer an antihypertensive medication.

Answer and Explanation

The Correct Answer is A

A. "Replace wet clothing with warmed blankets.": Hypothermia is a significant concern after near-drowning in cold conditions. Replacing wet clothing with warmed blankets helps stabilize body temperature.
B. "Use an axillary thermometer to monitor the client's temperature.": Axillary thermometers are not accurate for hypothermic clients. Core temperature monitoring is more reliable.
C. "Assist the client to perform range-of-motion exercises.": This is not a priority in acute care following hypothermia or near-drowning.
D. "Administer an antihypertensive medication.": Hypertension is not the focus unless specific cardiovascular conditions are present.

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Correct Answer is A

Explanation

A. "Applesauce.": Applesauce is part of the BRAT diet (bananas, rice, applesauce, toast), which is recommended for managing diarrhea due to its low fiber content and ease of digestion.
B. "Orange slices.": Oranges are acidic and high in fiber, which can irritate the gastrointestinal tract and worsen diarrhea.
C. "Bran cereal.": Bran is high in fiber and can increase bowel movements, exacerbating diarrhea.
D. "Cottage cheese.": Dairy products can worsen diarrhea, especially if lactose intolerance develops due to gastrointestinal irritation.

A. Client is alert and oriented to person, place, and time B. Bilateral breath sounds clear and present throughout C. Bilateral pedal pulses 3+ D. Feet warm with intact movement and sensation E. Client reports pain as a 4 on a scale of 0 to 10

Correct Answer is ["A","B","C","D","E"]

Explanation

These findings indicate improvements in overall status:

Alert and oriented: No neurological impairment.
Clear breath sounds: No signs of respiratory compromise.
Pedal pulses and warm feet: Circulation is restored.
Reduced pain: Indicates effective pain management.

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A nurse at an urgent care clinic is contributing to the plan of care for a client following a near drowning while attempting to walk across a frozen pond. Which of the following interventions should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has had severe diarrhea for the past 3 days and is now beginning solid foods. Which of the following foods should the nurse include in the plan of care?

Correct Answer is A

Explanation

Correct Answer is ["A","B","C","D","E"]

Explanation

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