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What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?

Magnesium sulfate

Kayexalate

Acetaminophen

Diazepam

Answer and Explanation

The Correct Answer is D

A. Magnesium sulfate: Magnesium sulfate is used for eclampsia and torsades de pointes, not for reducing shivering.

B. Kayexalate: This medication is used for hyperkalemia, not temperature control.

C. Acetaminophen: While useful for fever, acetaminophen does not stop shivering.

D. Diazepam: Shivering increases metabolic demand and body temperature. Diazepam (a benzodiazepine) is a muscle relaxant that helps control shivering in hyperthermic clients.

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Correct Answer is B

Explanation

A. Milk and organ meats. These foods do not contain excessive sodium.

B. Cheese, lunch meats, and canned vegetables: These foods are high in sodium, which can worsen hypernatremia by increasing serum sodium levels. Processed meats and canned vegetables contain excess salt and preservatives.

C. Alcohol and fried foods. Alcohol can cause dehydration, but not necessarily high sodium levels.

D. Green leafy vegetables and salt substitutes. Green leafy vegetables are low in sodium, and some salt substitutes contain potassium, not sodium.

A. Bradypnea, dizziness, and paresthesia B. Bradycardia and hyperactivity C. Headache, restlessness and confusion. D. Irritability and seizures

Correct Answer is C

Explanation

A. Bradypnea, dizziness, and paresthesia: Bradypnea is associated with CO₂ retention, but paresthesia (tingling sensations) is more common in alkalosis due to calcium shifts.

B. Bradycardia and hyperactivity: Bradycardia can occur in severe acidosis, but hyperactivity is not a typical sign.

C. Headache, restlessness, and confusion: Respiratory acidosis occurs when CO₂ retention leads to cerebral vasodilation, increasing intracranial pressure and causing headache, restlessness, and confusion.

D. Irritability and seizures: Seizures are more common in severe alkalosis due to neuronal hyperexcitability.

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What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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