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. "We'll find out if any medications, such as steroids, are interfering with your kidney function." Some medications affect kidney function, but creatinine primarily measures kidney efficiency, not drug interactions.
B. "This test will tell your doctor how your kidneys are functioning." Serum creatinine is a key indicator of kidney function. It measures how well the kidneys are filtering waste products.
C. "This test will tell if you have severe renal impairment or disease." Creatinine can be elevated in mild, moderate, or severe kidney dysfunction, not just in severe disease.
D. "You'll have to ask your doctor." The nurse should provide basic health education to the client.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Hypervolemia: IVF at 150ml/hr is a relatively high rate for someone with CHF. Even isotonic fluids like 0.9% sodium chloride can accumulate quickly and worsen cardiac workload.
Incorrect answers:
- Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
- Osteomyelitis: Infection of the bone; not a direct risk in this scenario.
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