A nurse is caring for a client who has meningitis, a temperature of 39.7° C (103.5° F) and is prescribed a hypothermia blanket.
While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?
Dehydration.
Shivering.
Seizures.
Burns.
The Correct Answer is B
The correct answer is choice B: Shivering.
Choice A rationale: Dehydration is a risk associated with high fever and infections like meningitis, but it is not a direct complication of using a hypothermia blanket.
Choice B rationale: Shivering is a complication of using a hypothermia blanket, as the body may react to the induced cooling by shivering, which can raise body temperature and counteract the blanket's cooling effect.
Choice C rationale: Seizures can occur in meningitis cases, but they are not specifically a complication of using a hypothermia blanket.
Choice D rationale: Burns are not a typical complication of using a hypothermia blanket when it is used as directed and monitored appropriately. However, skin irritation may occur in some cases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
HIV is primarily transmitted through direct contact with infected body fluids, such as blood, semen, vaginal fluids, and breast milk. This can occur during unprotected sex, sharing of needles, or from mother to child during childbirth or breastfeeding.
Choice B rationale:
Mosquitoes do not transmit HIV. The virus does not replicate or survive well within insects.
Choice C rationale:
Casual contact, such as hugging, shaking hands, or sharing dishes, does not lead to HIV transmission.
Choice D rationale:
Accidental puncture wounds can potentially transmit HIV, but this is not the primary mode of transmission. It’s more common in healthcare settings where workers might be exposed to needlestick injuries.
Correct Answer is A
Explanation
Choice A rationale:
Restlessness is a common early sign of increased intracranial pressure (ICP). It can be caused by the brain’s response to the pressure, leading to agitation and restlessness.
Choice B rationale:
Tachycardia, or a rapid heart rate, is not typically a sign of increased ICP. It can be a response to other factors such as pain, anxiety, or certain medications.
Choice C rationale:
Hypotension, or low blood pressure, is not typically a sign of increased ICP. In fact, hypertension, or high blood pressure, is more commonly associated with increased ICP2.
Choice D rationale:
Amnesia, or memory loss, is not typically a sign of increased ICP. It can be a result of the brain injury itself, but it is not a direct indicator of increased ICP2.
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