When a client is using a cooling blanket to reduce fever, which finding indicates the need to change treatment?
Diarrhea
Shivering
Hypotension
Vomiting
The Correct Answer is B
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.
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 {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"C"}}
Explanation
|
Solutions |
Hypotonic |
Isotonic |
Hypertonic |
|
0.45% sodium chloride |
✅ |
||
|
0.9% sodium chloride |
✅ |
||
|
Lactated Ringers |
✅ |
||
|
Albumin |
✅ |
0.45% Sodium Chloride (Hypotonic): Has lower osmolarity than blood, causing fluid to shift into cells, making them swell. Used for dehydration and intracellular rehydration.
0.9% Sodium Chloride (Isotonic): Has the same osmolarity as blood, so it stays in the intravascular space. Used for fluid resuscitation (hypovolemia, dehydration, shock).
Lactated Ringers (Isotonic): Contains electrolytes (Na+, K+, Ca2+, lactate), making it ideal for burns, surgery, and trauma patients. Maintains intravascular volume without fluid shifts.
Albumin (Hypertonic): Large protein that pulls fluid into the intravascular space (colloid osmotic pressure). Used for hypovolemia, burns, or severe hypoalbuminemia.
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