What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?
Magnesium sulfate
Kayexalate
Acetaminophen
Diazepam
The Correct Answer is D
A. Magnesium sulfate: Magnesium sulfate is used for eclampsia and torsades de pointes, not for reducing shivering.
B. Kayexalate: This medication is used for hyperkalemia, not temperature control.
C. Acetaminophen: While useful for fever, acetaminophen does not stop shivering.
D. Diazepam: Shivering increases metabolic demand and body temperature. Diazepam (a benzodiazepine) is a muscle relaxant that helps control shivering in hyperthermic clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Diarrhea: Diarrhea is not a common side effect of cooling therapy and does not indicate a need to stop treatment.
B. Shivering: Shivering counteracts the cooling effect of the blanket, increasing body temperature and metabolic demand. This indicates the treatment is ineffective and needs adjustment.
C. Hypotension: While cooling can cause vasodilation and lower blood pressure, mild hypotension does not immediately necessitate stopping treatment.
D. Vomiting: Vomiting may be due to fever-related illness but is not a direct indicator that cooling should be stopped.
Correct Answer is C
Explanation
A. During dialysis: Some drugs can bind to the dialysis membrane or be removed unpredictably.
B. Give as scheduled: If given before dialysis, the drugs may be removed from circulation.
C. After returning from dialysis: Dialysis removes medications from the bloodstream. Giving medications before dialysis may result in drug loss. Oral medications should be given after dialysis to ensure proper absorption and effectiveness.
D. Hold the medications for today and restart tomorrow: Unnecessary, as the client needs their medications post-dialysis.
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