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Exhibits

The nurse is concerned about the client's temperature. Which interventions can the nurse use to address the client's temperature? Select all that apply.

Place ice packs around the client's head

Microwave a pack of gauze and distribute across the body

Administer intravenous fluids with a rapid infuser

Check the temperature of the humidified oxygen attached to the ventilator

Instill warm fluids in the nasogastric tube

Use a fluid warmer for intravenous fluids

Apply warm blankets

Administer an antipyretic

Answer and Explanation

Correct Answer : C,D,E,F,G

A. Place ice packs around the client's head: This is a cooling intervention used for hyperthermia, not for treating hypothermia.
B. Microwave a pack of gauze and distribute across the body: This is unsafe, as microwaved materials can cause burns and do not provide effective heat distribution.
C. Administer intravenous fluids with a rapid infuser: Rapid infusion of warmed IV fluids can help restore core body temperature and prevent further hypothermia.
D. Check the temperature of the humidified oxygen attached to the ventilator: Cold or dry oxygen can contribute to heat loss, so ensuring that the humidified oxygen is warmed is an important step in maintaining normothermia.
E. Instill warm fluids in the nasogastric tube: Lavage with warm fluids via NG tube is an effective method of internal warming for hypothermic patients.
F. Use a fluid warmer for intravenous fluids: Warming IV fluids before administration prevents additional heat loss that could occur if room-temperature fluids are given.
G. Apply warm blankets: Passive external warming using warm blankets is an easy and effective intervention to increase body temperature.
H. Administer an antipyretic: Antipyretics (e.g., acetaminophen, ibuprofen) are used for fevers, not for hypothermia.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

A. Oatmeal is high in soluble fiber, which helps soften stool.
B. Raspberries are high in fiber and aid bowel regularity.
C. Scrambled eggs contain no fiber and do not help with constipation.
D. Bacon has no fiber and can contribute to constipation.
E. Raisin bran muffins contain both insoluble and soluble fiber, promoting healthy bowel movements.

A. Provide the client written information about end-of-life care. B. Mark the chart with client's request for no heroic measures. C. Reassure the client that the client's child will be allowed to visit. D. Obtain a detailed report from the nurse transferring the client.

Correct Answer is D

Explanation

A. Weight gain: This is typically seen in the oliguric phase, not the diuresis phase. In the diuresis phase, the client is excreting excess fluid, leading to weight loss.
B. Creatinine level of 1.0 (0.6-1.2 mg/dL): A creatinine level of 1.0 is within the normal range, but in acute kidney injury, creatinine levels would still be elevated.
C. GFR of 100 mL/min: A GFR of 100 mL/min is normal. In acute kidney injury, the GFR would be decreased.
D. Weight loss: This is a key finding in the diuresis phase due to the loss of excess fluids as the kidneys begin to recover.

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Exhibits The nurse is concerned about the client's temperature. Which interventions can the nurse use to address the client's temperature? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu item(s) should the nurse suggest? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

Correct Answer is D

Explanation

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Exhibits

The nurse is concerned about the client's temperature. Which interventions can the nurse use to address the client's temperature? Select all that apply.