A nurse is caring for a client who has a rectal temperature of 35°C (95°F). Which of the following actions should the nurse take?
Decrease the temperature in the client's room.
Request a prescription for an antipyretic medication.
Place a cooling fan near the client.
Place a warming blanket over the client.
The Correct Answer is D
A reason:
Decreasing the temperature in the client's room is incorrect. The client is already hypothermic and needs to be warmed, not further cooled.
B reason:
Requesting a prescription for an antipyretic medication is inappropriate. Antipyretics are used to lower fever, not to treat hypothermia.
C reason:
Placing a cooling fan near the client is incorrect and would exacerbate hypothermia.
D reason:
Placing a warming blanket over the client is correct. This action helps to gradually raise the client's body temperature to a safe level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A reason:
Assessing the pedal pulses with a Doppler device is not the appropriate next step for an irregular radial pulse. The focus should be on assessing the heart's rhythm and rate directly.
B reason:
Assessing the apical pulse for a full minute is correct. This provides a more accurate assessment of the heart rate and rhythm, especially in the case of an irregular pulse.
C reason:
Assessing the apical pulse with a Doppler device is not necessary. The apical pulse can be accurately assessed using a stethoscope.
D reason:
Assessing the pedal pulses for a full minute is not relevant in this context. The apical pulse provides more direct information about the heart's rhythm and rate.
Correct Answer is D
Explanation
A reason:
Decreasing the temperature in the client's room is incorrect. The client is already hypothermic and needs to be warmed, not further cooled.
B reason:
Requesting a prescription for an antipyretic medication is inappropriate. Antipyretics are used to lower fever, not to treat hypothermia.
C reason:
Placing a cooling fan near the client is incorrect and would exacerbate hypothermia.
D reason:
Placing a warming blanket over the client is correct. This action helps to gradually raise the client's body temperature to a safe level.
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