A nurse is caring for a client who has anorexia related to AIDS.
Which of the following laboratory values should the nurse monitor to confirm the client's nutritional intake is adequate?

Choice A rationale

Wet clothing exacerbates hypothermia by promoting heat loss through convection and evaporation. Replacing them with warmed blankets initiates passive rewarming, critical to restore normal body temperature (36.5°C to 37.5°C). Maintaining a warm environment minimizes shivering-induced metabolic demands and improves thermal regulation post-rescue.

Choice B rationale

Axillary thermometers measure skin temperature, often inaccurate in hypothermia where core temperature is needed. Core measurements via rectal or esophageal probes provide reliable readings, guiding rewarming interventions and severity classification, crucial for life-threatening hypothermia management.

Choice C rationale

Antihypertensives lower blood pressure and are inappropriate in hypothermia-related bradycardia or hypotension. Hypothermia-induced vasoconstriction maintains critical perfusion; medication interruption can worsen cardiovascular instability and reduce survival chances. Warmth stabilization precedes pharmacological actions.

Choice D rationale

Range-of-motion exercises increase metabolic rate but are not appropriate during hypothermia recovery. Muscular activity elevates oxygen demand, aggravating hypothermia risks such as arrhythmias. Passive warming supersedes these efforts until the client reaches normothermia and stability.

Choice A rationale

An oropharyngeal airway is used for maintaining an open airway in unconscious clients but is unnecessary for oropharyngeal suctioning. It does not aid in clearing secretions and could obstruct the suctioning procedure if incorrectly positioned.

Choice B rationale

Water-soluble lubricant is not required for oropharyngeal suctioning, as it is typically performed without introducing external lubrication. Using lubricant could increase the risk of aspiration and interfere with the suction catheter's effectiveness in clearing secretions.

Choice C rationale

Sterile gloves are commonly used in invasive procedures to maintain sterility, but oropharyngeal suctioning at home is generally considered a clean procedure. Non-sterile gloves suffice, prioritizing practicality without significantly increasing the risk of infection.

Choice D rationale

A Yankauer catheter is specifically designed for oropharyngeal suctioning, as its rigid shape and large lumen are effective in clearing thick oral secretions. Its ergonomic design allows safe and efficient use in both clinical and home settings to maintain a clear airway.