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.
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Related Questions
Correct Answer is D
Explanation
A. Constipation: Hypocalcemia causes diarrhea, while hypercalcemia causes constipation.
B. Negative Trousseau’s sign: A positive Trousseau’s sign (carpal spasm during BP cuff inflation) is expected with hypocalcemia.
C. BP of 180/88: Severe hypocalcemia may cause hypotension, not hypertension.
D. Numbness and tingling of the extremities: Hypocalcemia can occur after a total thyroidectomy due to accidental removal or damage to the parathyroid glands. Neuromuscular excitability, including paresthesia (numbness and tingling), tetany, and muscle spasms, are classic signs.
Correct Answer is B
Explanation
A. Leukocytes: Erythropoietin does not affect white blood cell (WBC) production.
B. Hemoglobin: Erythropoietin stimulates red blood cell (RBC) production in the bone marrow. Clients with chronic kidney disease (CKD) develop anemia due to decreased natural erythropoietin production. A therapeutic response is seen as an increase in hemoglobin levels.
C. Platelets: Erythropoietin does not stimulate platelet production (thrombopoiesis).
D. Brain Natriuretic Peptide (BNP): BNP is a marker for heart failure, not erythropoiesis.
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