What is the primary concern when treating a client with heat stroke?
Administering antibiotics
Monitoring blood glucose levels
Providing hydration through oral fluids
Rapid cooling of the body
The Correct Answer is D
A. Administering antibiotics:
Antibiotics are not used unless infection is suspected. Heat stroke is not an infectious condition.
B. Monitoring blood glucose levels:
While monitoring glucose may be part of general care, it is not the priority in heat stroke.
C. Providing hydration through oral fluids:
Oral fluids are contraindicated in unconscious or altered patients, which is often the case in heat stroke. IV fluids are preferred.
D. Rapid cooling of the body:
The primary concern in heat stroke is core temperature reduction to prevent organ damage. Ice packs, cooling blankets, and cold IV fluids are used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Paradoxical heat sensation:
This occurs in hypothermia, not typically during frostbite rewarming.
B. Permanent nerve damage:
While this is a possible complication of severe frostbite, it is not expected during thawing. The nurse should not prematurely alarm the patient with worst-case outcomes.
C. Immediate return to normal temperature:
Return of tissue temperature is gradual, and the affected area may remain cool for a while. Full recovery takes time.
D. Swelling should be expected with thawing and frostbite injury:
This is the accurate and expected response. Reperfusion causes inflammatory swelling, redness, and pain.
Correct Answer is B
Explanation
A. Hypermetabolism:
While it increases the body’s energy demands, hypermetabolism itself does not directly compromise perfusion. It contributes to catabolism and worsening organ function over time, but perfusion deficits are due to vascular and circulatory issues.
B. Hypotension and micro-emboli formation:
Hypotension reduces overall blood flow to organs, and micro-emboli can block capillaries, both of which impair oxygen and nutrient delivery, leading to organ dysfunction/failure.
C. Hyperperfusion:
This is the opposite problem - increased blood flow. SIRS and MODS are marked by hypoperfusion.
D. Hyperglycemia:
Elevated glucose contributes to inflammation and poor outcomes, but it does not directly cause impaired perfusion like hypotension and emboli do.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.