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 B
Explanation
Clostridium difficile (C. difficile) is a highly contagious bacteria that can cause diarrhea and colitis 1. To prevent the spread of infection, it is important for the nurse to practice good hand hygiene by washing their hands with soap and water after caring for the client.
Correct Answer is A
Explanation
Orthostatic hypotension is defined as a decrease in blood pressure of 20 mm Hg or more systolic or 10 mm Hg or more diastolic within three minutes of standing from the supine position1. The first step in assessing a client for orthostatic hypotension is to check their blood pressure while they are lying down (supine position)
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