A nurse is caring for a client who has moderate hypothermia. Which of the following actions should the nurse take?

Place the client in a semi-Fowler's position,

Infuse warm IV fluids.

Assess the client's skin hourly when using a heating blanket.

Rewarm the client's extremities first.

Answer and Explanation

The Correct Answer is B

A) Place the client in a semi-Fowler's position:
While positioning can be beneficial for various conditions, it does not directly address the core issue of hypothermia. Rewarming the client effectively is the primary concern in hypothermia management.

B) Infuse warm IV fluids:
Administering warm IV fluids is a crucial intervention for moderate hypothermia as it helps increase the client's core body temperature more rapidly and effectively. This method ensures that the body's internal temperature is raised, which is vital for stabilizing the client.

C) Assess the client's skin hourly when using a heating blanket:
Monitoring the skin is important to prevent burns or skin damage from a heating blanket, but it is a supportive measure rather than a primary intervention. The key priority is to rewarm the client’s core.

D) Rewarm the client's extremities first:
Rewarming the extremities first can actually be harmful in hypothermia, as it can lead to a drop in core body temperature due to the return of cold blood from the periphery to the core (afterdrop). The focus should be on warming the core body first.

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Correct Answer is D

Explanation

A) "This medication might cause urinary frequency": Meclizine is not commonly associated with urinary frequency. It is an antihistamine used primarily to manage symptoms of vertigo and motion sickness rather than affecting urinary function.

B) "This medication might cause an increase in your blood sugar": Meclizine does not typically affect blood sugar levels. Concerns about blood sugar levels are more relevant to other medications, such as corticosteroids or certain antihypertensives, rather than meclizine.

C) "This medication might cause you to have excess saliva": Excess saliva is not a common side effect of meclizine. Antihistamines like meclizine usually have the opposite effect, potentially causing dry mouth rather than an increase in saliva.

D) "This medication might cause drowsiness": Drowsiness is a known side effect of meclizine, as it is an antihistamine with sedative properties. This effect can be significant for some individuals, so it's important for clients to be aware of this potential impact on their daily activities.

A. Limit fluids that contain electrolytes. B. Eliminate sources of probiotics from the diet. C. Take docusate sodium twice daily. D. Avoid foods high in simple sugars.

Correct Answer is D

Explanation

A) "Limit fluids that contain electrolytes":
For a client with gastroenteritis, it is crucial to maintain hydration due to the risk of dehydration from diarrhea and vomiting. However, fluids containing electrolytes can help replenish lost electrolytes and are beneficial. The instruction to "limit" these fluids might be misunderstood as a need to avoid them, which is not appropriate. The aim should be to encourage adequate hydration with fluids that contain electrolytes.

B) "Eliminate sources of probiotics from the diet":
Probiotics can help restore the balance of gut bacteria and may be beneficial in managing gastroenteritis. Eliminating probiotics from the diet is not typically recommended and may not support the recovery process.

C) "Take docusate sodium twice daily":
Docusate sodium is a stool softener, generally used to relieve constipation. In the context of gastroenteritis, which typically involves diarrhea, this medication is not appropriate and could worsen the condition.

D) "Avoid foods high in simple sugars":
Foods high in simple sugars can exacerbate diarrhea by increasing osmotic load in the intestines, leading to more water being drawn into the gut. Avoiding these foods can help manage and reduce symptoms of gastroenteritis.

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A nurse is caring for a client who has moderate hypothermia. Which of the following actions should the nurse take?

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