A nurse is assessing a client who has an oral temperature of 39 degrees Celsius. Which of the following findings should the nurse expect?
Decreased peripheral pulses
Respiratory rate 10/min
Heart rate 108/min
Dilated pupils
The Correct Answer is C
The nurse should expect to find an increased heart rate in a client with a fever. An elevated body temperature can cause an increase in metabolic rate, which can lead to an increase in heart rate. This is a normal physiological response to fever and helps the body to generate heat and fight off infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should plan to use warm water to wash the client’s feet as part of proper foot care. Warm water can help soften the skin and nails, making it easier to clean and trim the nails. It is also important to avoid soaking the feet, as this can dry out the skin and increase the risk of infection.
Correct Answer is A
Explanation
A heart rate of 56/min is considered bradycardia, which is defined as a heart rate slower than 60 beats per minute 1. Bradycardia can prevent the brain and other organs from getting enough oxygen, possibly causing symptoms such as dizziness or light-headedness.
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