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 C

Explanation

Choice A rationale

Lansoprazole does not typically cause indigestion; it treats conditions like GERD by reducing stomach acid production. Indigestion as a side effect would indicate an abnormal reaction.

Choice B rationale

Lansoprazole is best taken before a meal to optimize its ability to suppress gastric acid secretion. Taking it after a meal may reduce its effectiveness.

Choice C rationale

Reporting diarrhea is essential as it may indicate a rare but serious adverse effect like Clostridioides difficile-associated diarrhea. Early reporting helps prevent complications.

Choice D rationale

Lansoprazole capsules should not be chewed as the medication is designed for delayed release. Chewing disrupts this mechanism, leading to reduced efficacy or increased side effects.

A. Current medication prescriptions. B. Primary health problem. C. Scheduled times for dressing changes. D. Number of family members who have visited. E. Admission vital signs from a week ago.

Correct Answer is ["A","B"]

Explanation

Choice A rationale

Current medication prescriptions provide critical information about the client's ongoing treatments, including dosages, routes, and frequencies. This ensures continuity of care and prevents medication errors during the transition to the intensive care unit, promoting patient safety.

Choice B rationale

The primary health problem outlines the client's current medical condition necessitating transfer. It informs the receiving team about the clinical priorities and guides immediate care and management decisions to address the client’s needs effectively.

Choice C rationale

Scheduled times for dressing changes offer minimal relevance in an emergency transfer situation. While it provides routine care information, it does not impact immediate critical care and thus is less vital than other elements of the report.

Choice D rationale

The number of family members visiting holds no significance for transfer documentation. This detail does not affect medical care or provide essential information to the receiving unit and therefore is excluded from critical documentation.

Choice E rationale

Admission vital signs from a week ago are outdated and do not reflect the client’s current physiological status. Providing recent or trending vital signs is crucial to conveying the severity of the client's condition and enabling prompt intervention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is to begin taking lansoprazole.Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status.Which of the following information should the nurse include in the transfer documentation? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

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