A nurse is assessing a client who has an oral temperature of 39° C (102.2° F). Which of the following findings should the nurse expect?

Decreased peripheral pulses

Dilated pupils

Respiratory rate 10/min

Heart rate 108/min

Answer and Explanation

The Correct Answer is D

A. Decreased peripheral pulses. Fever leads to vasodilation and increased cardiac output, which generally enhances peripheral blood flow. As a result, peripheral pulses are more likely to be strong and bounding rather than decreased.

B. Dilated pupils. Pupil dilation is associated with sympathetic nervous system activation, often due to stress, fear, or certain medications. Fever alone does not typically cause pupil dilation, making this an unlikely expected finding.

C. Respiratory rate 10/min. Fever usually increases metabolic demand, leading to a higher respiratory rate (tachypnea) rather than a lower one. A respiratory rate of 10 breaths per minute would be considered bradypnea, which is not a typical response to fever.

D. Heart rate 108/min. Fever stimulates the sympathetic nervous system, increasing heart rate (tachycardia) to meet the body’s higher metabolic and oxygen demands. A heart rate of 108/min is expected in response to a fever of 39°C (102.2°F).

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Correct Answer is B

Explanation

A. Respiratory therapist. A respiratory therapist provides care related to breathing disorders, such as managing oxygen therapy or ventilators. They are not typically involved in coordinating home health services for wound care.

B. Social worker. A social worker assists with coordinating home health services, arranging follow-up care, and addressing financial or logistical barriers to receiving treatment at home. They ensure the client has access to necessary resources, including wound care services.

C. Dietitian. A dietitian helps with nutritional planning to support wound healing, such as recommending a high-protein diet. While nutrition is important in recovery, a dietitian does not arrange home health care services.

D. Occupational therapist. An occupational therapist helps clients regain the ability to perform daily activities after illness or injury. While they may assist in recovery, they do not arrange wound care services for home health needs.

A. Center for Medicare and Medicaid Services (CMS) B. Administration for Children and Families (ACF) C. Indian Health Service (IHS) D. Administration on Aging (AOA)

Correct Answer is C

Explanation

A. Center for Medicare and Medicaid Services (CMS). CMS oversees Medicare and Medicaid programs, ensuring access to healthcare for eligible populations. While it enforces healthcare regulations and funding, it does not specifically focus on culturally competent care.

B. Administration for Children and Families (ACF). ACF provides programs for child welfare, early childhood development, and economic support for families. While it promotes social services, its primary focus is not on culturally competent healthcare delivery.

C. Indian Health Service (IHS). IHS is a federal agency responsible for providing healthcare to Native American and Alaska Native populations. It emphasizes culturally competent care by integrating traditional healing practices, addressing health disparities, and ensuring services are tailored to the cultural needs of Indigenous communities.

D. Administration on Aging (AOA). AOA focuses on programs that support older adults, including home- and community-based services. While it promotes equitable care for the aging population, it does not specifically advocate for culturally competent healthcare across diverse groups.

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A nurse is assessing a client who has an oral temperature of 39° C (102.2° F). Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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