A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling?

Tachycardia

Shivering

Flushing

Restlessness

Answer and Explanation

The Correct Answer is B

A: Tachycardia might occur due to the fever itself but isn't a specific reaction to the cooling method.
B: Shivering is an adverse reaction because it indicates that the body is trying to generate heat to counteract the cooling effect of the blanket, which can increase metabolic demand and is counterproductive.
C: Flushing is typically related to fever or other causes but not directly to the adverse reaction of cooling.
D: Restlessness can be caused by discomfort or the fever itself, not specifically by cooling.

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Correct Answer is D

Explanation

A. Discouraging the client from allowing friends to see the newborn may deprive the client of potential sources of support and comfort during the grieving process.

B. Avoiding talking to the client about the newborn may inhibit the client's ability to process their emotions and may convey a lack of support from the nurse.
C. While it is important to provide reassurance, assuring the client that she can have additional children may minimize the client's current grief and invalidate her feelings of loss.
D. Offering to take pictures of the newborn allows the client to create lasting memories and keepsakes, which can be comforting and therapeutic during the grieving process.

A. Eat a light snack before bedtime. B. Perform exercises prior to bedtime. C. Stay in bed at least 1 hr if unable to fall asleep. D. Take a 1-hr nap during the day.

Correct Answer is A

Explanation

A. Eating a light snack before bedtime can help promote sleep by preventing hunger- related awakenings without causing discomfort or indigestion.
B. Performing exercises prior to bedtime may increase alertness and make it more difficult to fall asleep.
C. Remaining in bed for extended periods if unable to fall asleep can worsen insomnia by reinforcing the association between the bed and wakefulness.
D. Taking a long nap during the day can disrupt nighttime sleep patterns and make it more difficult to fall asleep at night.

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A nurse is caring for a client who is febrile. To reduce the client's fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling?

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