When a client is using a cooling blanket to reduce fever, which finding indicates the need to change treatment?

Diarrhea

Shivering

Hypotension

Vomiting

Answer and Explanation

The Correct Answer is B

A. Diarrhea: Diarrhea is not a common side effect of cooling therapy and does not indicate a need to stop treatment.

B. Shivering: Shivering counteracts the cooling effect of the blanket, increasing body temperature and metabolic demand. This indicates the treatment is ineffective and needs adjustment.

C. Hypotension: While cooling can cause vasodilation and lower blood pressure, mild hypotension does not immediately necessitate stopping treatment.

D. Vomiting: Vomiting may be due to fever-related illness but is not a direct indicator that cooling should be stopped.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Phlebitis- Due to IV therapy (15g IV and 0.9% NS at 150mL/hr), increasing the risk of vein irritation and inflammation.

Incorrect answers:

Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
Hypervolemia: The client is receiving IV fluids, but there is no evidence of fluid overload.
Osteomyelitis: Infection of the bone; not a direct risk in this scenario.

A. Administer supplemental oxygen B. Secure precautions C. Cardiac monitoring D. Initiating a fluid restriction

Correct Answer is C

Explanation

A. Administer supplemental oxygen: Hypokalemia primarily affects cardiac and neuromuscular function, not oxygenation. Oxygen may be needed if dysrhythmias develop but is not the highest priority.

B. Seizure precautions: While severe hypokalemia can cause muscle weakness, seizures are not the primary concern. Cardiac effects take priority.

C. Cardiac monitoring: A potassium level of 2.2 mEq/L is critically low, increasing the risk of life-threatening cardiac arrhythmias. Continuous cardiac monitoring helps detect dangerous dysrhythmias like ventricular tachycardia.

D. Initiating a fluid restriction: Fluid restriction is more relevant for hyperkalemia or fluid overload, not hypokalemia.

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When a client is using a cooling blanket to reduce fever, which finding indicates the need to change treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has severe right wrist pain. Exhibits The nurse has completed the assessment of the client. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown and dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

The client's potassium level is 2.2 What nursing action has the highest priority?

Correct Answer is C

Explanation

The nurse is caring for a client diagnosed with acute renal failure and has a potassium level of 8.3 mEq/L. What collaborative intervention would be a priority for this client?

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The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?

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