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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.

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Correct Answer is A

Explanation

A: Controlling blood pressure to less than 140/80 mm Hg is essential for reducing the risk of diabetic retinopathy, which can contribute to blurred vision and other complications.

B: Educating the family about the disease is important, but it does not directly address the client’s blurred vision or its underlying cause.

C: While eye care is important, this outcome does not focus on addressing the underlying issue of blurred vision in a client with diabetes.

D: Although acceptance of health status is important, it is not as directly related to managing the client’s vision issues as controlling blood pressure.

A. Ear pain and fever. B. Increased BUN and serum creatinine. C. Positive Epstein-Barr, and malaise. D. Elevated WBC and sedimentation rate.

Correct Answer is C

Explanation

A. Ear pain and fever suggest otitis media, not mononucleosis.
B. Elevated BUN and creatinine indicate kidney dysfunction, unrelated to mononucleosis.
C. Mononucleosis is caused by the Epstein-Barr virus and commonly presents with fatigue, malaise, and lymphadenopathy.
D. While WBC and sedimentation rate may be elevated, they are not specific to mononucleosis.

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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

The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome should the nurse include in the plan of care for this client?

Correct Answer is A

Explanation

The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms?

Correct Answer is C

Explanation

The client who has emphysema and recently experienced a stroke receives a prescription for a metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is necessary. Which information should the nurse provide?

After removing a client's dressing that is saturated with sanguineous drainage, where should the nurse place the dressing?

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In caring for a client following a head injury, the nurse plans to assess for rhinorrhea so that a sample can be tested for the presence of cerebrospinal fluid (CSF). At which location should the nurse observe for this finding? (Click the chosen location. To change, click on the new location.)

The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?

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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.