The nurse is caring for a client receiving treatment for myxedema. The nurse should explain that warm blankets are used to warm the client instead of heating pads for which of the following reasons?
Active rewarming may increase oxygen demands.
Electric cords from heating pads can be a choking hazard.
Heating pads could cause tissue burns.
Warm blankets are more comforting for the client.
The Correct Answer is C
A. The statement active rewarming may increase oxygen demands is true for some conditions, like hypothermia, but it is not the primary reason to avoid heating pads for a client with myxedema. While rewarming can increase oxygen demands, the primary concern with heating pads is the risk of burns due to impaired thermoregulation in myxedema.
B. This is not relevant to the scenario. The concern with heating pads is not about choking hazards but about burns and safe rewarming.
C. In myxedema, the body’s ability to regulate temperature and respond to thermal stimuli is impaired due to severe hypothyroidism. This puts the client at a higher risk for burns if heating pads are used. Using warm blankets instead of heating pads ensures a safer, more gradual rewarming process.
D. While warm blankets may indeed be more comforting, the primary reason for using them instead of heating pads is to avoid the risk of burns due to impaired temperature regulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Clients with advanced Parkinson’s disease often have difficulty with swallowing, fine motor control, and coordination, which can make eating challenging. Assisting with meals helps ensure the client receives adequate nutrition.
B. Swallowing difficulties (dysphagia) are common in advanced Parkinson's disease, increasing the risk for aspiration. The nurse should monitor for signs of aspiration and take precautions (e.g., providing thickened liquids, upright positioning) to reduce the risk of aspiration pneumonia.
C. While it’s important to monitor weight in Parkinson’s disease, monthly monitoring may not be frequent enough. Weight should be assessed more regularly (e.g., weekly) because individuals with advanced Parkinson's disease may have difficulty eating enough, leading to weight loss.
D. If the client is having difficulty eating enough during regular meals due to swallowing difficulties or fatigue, supplemental feedings (e.g., via tube feeding or liquid supplements) may be necessary to maintain nutrition and prevent weight loss.
E. A dietary consult can help provide guidance on modifying the diet to address swallowing difficulties, ensure adequate caloric intake, and prevent complications such as malnutrition or aspiration.
Correct Answer is B
Explanation
A. It is correct that the doctor can change the settings of the VNS as needed using a special programming device. This is a true and expected understanding.
B. Saying "I will never have another seizure" indicates a misunderstanding. While the vagal nerve stimulator can reduce the frequency and severity of seizures, it is not a cure and does not guarantee complete seizure prevention. This statement reflects unrealistic expectations and suggests the need for further teaching.
C. The VNS sends electrical signals to the brain via the vagus nerve to help prevent seizure activity—this is an accurate understanding of its function.
D. Cough or throat spasm is a known side effect or complication of VNS, so this statement reflects appropriate understanding.
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