Which of the following interventions would be appropriate for a client who has undergone surgery for a disorder and has started shivering?

Place the client on a hypothermia blanket.

Provide the client with warm fluids.

Cover the client with a light blanket.

Ensure that the room temperature is below 70°F.

Answer and Explanation

The Correct Answer is B

Provide the client with warm fluids. Shivering is the body's natural response to try to warm itself up. Providing warm fluids to the client can help to increase the client's core temperature and decrease shivering.

Choice A is incorrect because a hypothermia blanket is used to reduce the client's core temperature, which is not appropriate for a client who is shivering.

Choice C is incorrect because a light blanket may not provide enough warmth for the client who is shivering.

Choice D is incorrect because the room temperature should be kept warm to prevent the client from getting colder and shivering more.

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Correct Answer is B

Explanation

"The chance of acquiring a sexually transmitted infection increases with multiple sex partners." This response is appropriate and accurate because having multiple sex partners increases the risk of acquiring sexually transmitted infections. The nurse's response can help educate the client and encourage safer sexual practices.

Choice A is incorrect because it assumes the client already practices safe sex.

choice C is not relevant to the conversation.

Choice D is not necessarily incorrect, but it does not provide as much information or education to the client as choice B does.

A. Provide instruction on blood-thinning medication. B. Assess the client for the ability to ambulate independently. C. Include the client in planning care and setting goals. D. Praise the client when using adaptive equipment.

Correct Answer is B

Explanation

Assess the client for the ability to ambulate independently. The highest priority nursing intervention for a client admitted to a neurologic rehabilitation unit following a cerebrovascular accident is to assess the client's ability to ambulate independently. This assessment will help the nurse determine the level of assistance required and develop an appropriate care plan.

Option A. Providing instruction on blood-thinning medication is not the highest priority as it can be done later when the client's ambulation status is stable.

Option C. Including the client in the planning of care and setting of goals is important but not the highest priority in this situation as it can be done after assessing the client's ambulation status.

Option D. Praise the client when using adaptive equipment, is not the highest priority as the client's ambulation status is more important at this point.

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Which of the following interventions would be appropriate for a client who has undergone surgery for a disorder and has started shivering?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a sexual history, the client states that she has had multiple sex partners. Which statement by the nurse is most correct?

Correct Answer is B

Explanation

The nurse is planning care for a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of the highest priority?

Correct Answer is B

Explanation

On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be diaphoretic and in a stuporous state. What is the immediate action taken by the nurse?

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