The home health nurse is instructing a caregiver about caring for a patient with hypothermia. The nurse recognizes that further instruction when the caregiver states, "I will

instruct the patient to remain on strict bed rest

provide the patient with additional blankets"

encourage the patent to increase his muscle activity”

offer fluids to the patient if permitted

Answer and Explanation

The Correct Answer is C

A.   Keeping the patient on bed rest is appropriate as it conserves energy and helps prevent further heat loss.
B.   Providing additional blankets is a correct intervention to warm the patient gradually.
C.   Increasing muscle activity is contraindicated because it could cause vasoconstriction and worsen hypothermia, as the body focuses on preserving core temperature.
D.   Offering fluids (if permitted) is correct as hydration can help restore normal body temperature regulation.

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Correct Answer is A

Explanation

A. Lordosis, or an exaggerated inward curve of the lumbar spine, is commonly seen in conditions such as obesity, pregnancy, or spinal abnormalities.
B. Osteoporosis typically leads to a more generalized loss of bone density, not a specific curvature.
C. Kyphosis involves an exaggerated outward curve of the upper back, not the lumbar spine.
D. Scoliosis is characterized by a lateral curvature of the spine, not an exaggerated lumbar curve.

A. directly below the sternum. B. the left of the sternum at the third intercostal space. C. the left midclavicular line at the fifth intercostal space D. tightly above the left nipple.

Correct Answer is C

Explanation

A. The area directly below the sternum is not the location for the apical pulse.
B. The third intercostal space is too high for the apical pulse, which is best heard at the fifth intercostal space.
C. The left midclavicular line at the fifth intercostal space is the proper location for auscultating the apical pulse.
D. Placing the stethoscope above the left nipple does not ensure accurate assessment of the apical pulse.

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The home health nurse is instructing a caregiver about caring for a patient with hypothermia. The nurse recognizes that further instruction when the caregiver states, "I will

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that a patient has an exaggerated lumbar curve. This is indicative of

Correct Answer is A

Explanation

The nurse taking an apical pulse would place the stethoscope at:

Correct Answer is C

Explanation

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