A nurse is reinforcing teaching with a group of older adult clients about preventing hypothermia in the winter.Which of the following information should the nurse include in the teaching?

Set the indoor temperature at 17°C (64°F).

Eat low-carbohydrate meals and snacks.

Cover the head when sleeping at night.

Wear a single layer of warm clothing.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Setting the indoor temperature at 17°C (64°F) is too low for older adults, increasing their risk for hypothermia. A higher indoor temperature is recommended for safety.

Choice B rationale

Low-carbohydrate diets are not ideal in preventing hypothermia. Carbohydrates are essential for energy production and thermoregulation, especially in colder weather.

Choice C rationale

Covering the head is critical as significant heat loss occurs through the head. This practice helps conserve body heat during colder temperatures.

Choice D rationale

Wearing a single layer is insufficient for retaining body heat in winter. Layering clothing provides insulation by trapping warm air, which helps prevent hypothermia. .

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Correct Answer is E,C,A,D,B

Explanation

Choice Erationale

Cleaning the puncture site with an antiseptic removes surface bacteria and contaminants to prevent infection. It also ensures that the blood sample is free from external substances that could interfere with test results.

Choice Crationale

Allowing the antiseptic to dry completely is crucial for proper skin preparation. Wet antiseptic can dilute the blood sample or cause irritation, and drying ensures optimal puncture and sample integrity.

Choice Arationale

Quickly piercing the site minimizes tissue damage and reduces discomfort. A swift puncture ensures an adequate capillary blood flow without excess trauma to the site.

Choice Drationale

Gently squeezing the site avoids excessive hemolysis, which can alter the blood glucose test results. Excessive pressure could force interstitial fluid into the sample, diluting it.

Choice Brationale

Applying blood to the test strip immediately after collection minimizes sample degradation. The test strip reacts to glucose levels, so prompt application ensures accurate readings.

A. Eggs. B. Asparagus. C. Potatoes. D. Dried beans.

Correct Answer is C

Explanation

Choice A rationale

Eggs are high in sulfur-containing amino acids such as methionine, which bacteria in the gut break down to produce hydrogen sulfide gas. This gas significantly contributes to odor in individuals with colostomies. Thus, eggs are not recommended for controlling odor.

Choice B rationale

Asparagus contains a compound known as asparagusic acid, which breaks down into sulfur-containing byproducts during digestion. These compounds are excreted and can lead to malodorous output in colostomy patients, making asparagus less suitable for controlling odor.

Choice C rationale

Potatoes are low in sulfur-containing compounds and high in fiber, which promotes healthy digestion and decreases gas formation. They are considered a low-odor food, making them ideal for inclusion in the diet of colostomy patients aiming to minimize odor.

Choice D rationale

Dried beans are rich in complex carbohydrates such as raffinose and stachyose that ferment in the large intestine. This fermentation process generates excessive gas, leading to increased odor in colostomy patients. Therefore, dried beans are not advisable.

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A nurse is reinforcing teaching with a group of older adult clients about preventing hypothermia in the winter.Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a blood glucose test. After performing hand hygiene and donning gloves, in which order should the nurse perform the following actions to obtain a capillary blood sample?

Correct Answer is E,C,A,D,B

Explanation

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Correct Answer is C

Explanation

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