When evaluating the client's temperature levels, the nurse expects the client's temperature to be lower:
In the morning
During periods of stress
After exercising
In the preoperative period
The Correct Answer is A
A. Body temperature follows a circadian rhythm, typically being lowest in the early morning (around 4–6 AM) and peaking in the late afternoon or evening.
B. Stress activates the sympathetic nervous system, which increases metabolic activity and raises body temperature rather than lowering it.
C. Physical activity generates heat, leading to an increase in body temperature, not a decrease.
D. While some surgical preparations involve cooling the patient, body temperature is not naturally lower before surgery. Instead, preoperative anxiety may even cause a slight increase in temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Positional BP readings. While orthostatic blood pressure readings can assess for postural hypotension, there is no indication in the current vitals that the client is experiencing symptoms such as dizziness or syncope.
B. Carotid pulse and temperature. The client’s temperature is already documented as normal, and the carotid pulse is not needed when an irregular radial pulse has been noted. The apical pulse is the preferred method to assess for irregularities.
C. Full respiratory system assessment. The respiratory rate is within the normal range, with regular rhythm and normal depth, so a full respiratory assessment is not the immediate priority.
D. Apical pulse for one minute. An irregular radial pulse suggests the possibility of an arrhythmia. The apical pulse provides a more accurate assessment of heart rhythm and rate, ensuring a complete evaluation of the irregularity.
Correct Answer is B
Explanation
A. Dysrhythmia. Dysrhythmia refers to an irregular heart rhythm, not necessarily a fast heart rate. Tachycardia can be regular or irregular.
B. Tachycardia. Tachycardia is defined as a heart rate above 100 beats per minute in adults. A pulse rate of 110 to 140 bpm falls within this range.
C. Bradycardia. Bradycardia refers to a slow heart rate (below 60 bpm), which is the opposite of tachycardia.
D. Pyrexia. Pyrexia refers to fever (elevated body temperature), not an increased heart rate.
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