The home health nurse in Wyoming gives instruction to an 80-year-old patient in the prevention of hypothermia.
Which information should the nurse include? (Select all that apply.)
Wear multiple layers of clothing.
Drink warm fluids from a thermos.
Wear gloves and earmuffs.
Wear a loose-fitting hat.
Correct Answer : A,B,C,D
Choice A rationale
Wearing multiple layers of clothing helps to trap body heat, preventing hypothermia.
Choice B rationale
Drinking warm fluids from a thermos helps maintain body temperature by providing warmth.
Choice C rationale
Wearing gloves and earmuffs prevents heat loss from extremities, which is essential in preventing hypothermia.
Choice D rationale
Wearing a loose-fitting hat prevents heat loss from the head, which is a significant source of body heat loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Exercise, in general, is beneficial and should not exacerbate systemic lupus erythematosus (SLE). In fact, regular, gentle exercise can improve overall health and reduce symptoms.
Choice B rationale
Infection can trigger or exacerbate SLE flares by activating the immune system, which can cause increased inflammation.
Choice C rationale
Sunlight exposure can exacerbate SLE due to photosensitivity, leading to skin rashes and triggering systemic flares.
Choice D rationale
Pregnancy can exacerbate SLE due to hormonal changes and the additional strain on the immune system.
Correct Answer is C
Explanation
Choice A rationale
Metabolic acidosis can occur in renal failure but is not directly linked to tumor lysis syndrome.
Choice B rationale
Elevated white blood cell count is not a primary contributor to renal failure in tumor lysis syndrome.
Choice C rationale
Crystallization of uric acid in the renal tubules can obstruct urine flow and cause acute renal failure, which is a direct pathophysiologic event in tumor lysis syndrome.
Choice D rationale
Hypocalcemia is a consequence of tumor lysis syndrome but does not directly cause renal failure.
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