A nurse is teaching a class about the eﬀects of bathing in warm water. Which of the following information should the nurse include?

Increases retention of carbon monoxide

Decreases stress

Increases vasoconstriction

Decreases oxygen supply to tissues

Answer and Explanation

The Correct Answer is B

The nurse should include information about how bathing in warm water can help decrease stress levels. Warm water can help relax the muscles and promote a sense of calmness and relaxation, which can help reduce stress levels.

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Correct Answer is A

Explanation

Answer: A

Rationale:

A) A client who has hemorrhoids: An oral temperature is appropriate for this client as there are no contraindications for using the oral route. Hemorrhoids do not affect the accuracy or safety of oral temperature measurement.

B) A client who had recent oral surgery: Oral temperature measurement should be avoided for this client as it may cause discomfort or disrupt the healing process. Alternative routes, such as tympanic or axillary, are more appropriate.

C) A client who has a coagulation disorder: Oral temperature measurement might be risky in clients with coagulation disorders due to the potential for trauma or bleeding from the oral mucosa. A non-invasive method is preferable for safety.

D) A client who is drinking ice water: Drinking ice water can temporarily lower the temperature in the oral cavity, leading to inaccurate readings. The nurse should wait 15–30 minutes before measuring an oral temperature.

A. The client’s systolic blood pressure decreases from 110 mm Hg to 105 mm Hg. B. The client reports nausea. C. The client’s heart rate increases from 100/min to 108/min. D. The client reports dizziness.

Correct Answer is A

Explanation

Postural hypotension, also known as orthostatic hypotension, is a form of low blood pressure that occurs when standing up from a sitting or lying down position 1. An eﬀective intervention for postural hypotension would be one that helps to prevent a significant drop in blood pressure when the client changes position. A small decrease in systolic blood pressure, such as from 110 mm Hg to 105 mm Hg, would indicate that the intervention is eﬀective in preventing a larger drop in blood pressure.

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A nurse is teaching a class about the eﬀects of bathing in warm water. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about measuring body temperature in clients. Which of the following clients should the nurse instruct to obtain an oral temperature?

Correct Answer is A

Explanation

A nurse is caring for a client who has postural hypotension. The nurse assists the client gradually from a lying down to standing position. The nurse should identify that which of the following findings indicates the intervention is eﬀective?

Correct Answer is A

Explanation

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