Which intervention would the nurse plan to use for a patient who was working on a construction site and now presents to the hospital with profuse sweating, a temperature of 104°F (40°C), patent airway, tachycardia, acute confusion, and anxiety?

Administering aspirin to the patient

Providing oral fluids

Applying a cooling blanket

Giving salt tablets to the patient

Answer and Explanation

The Correct Answer is C

A. Administering aspirin is incorrect because aspirin is ineffective in reducing core temperature in heat stroke and can increase the risk of bleeding.
B. Providing oral fluids is incorrect because the patient is confused and at risk for aspiration; IV fluids are preferred.
C. Applying a cooling blanket is correct because this patient is experiencing heat stroke, and rapid cooling is essential to prevent organ damage. Cooling blankets, ice packs, and immersion in cool water are key interventions.
D. Giving salt tablets is incorrect as rapid sodium replacement can cause fluid shifts and worsen the condition; IV fluids are preferred.

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Correct Answer is A

Explanation

A. Pneumothorax is a potential complication immediately following the insertion of a central venous catheter, especially with insertion through the subclavian vein. It occurs when the needle or catheter punctures the lung, allowing air to enter the pleural space. This is a critical, time-sensitive complication that needs immediate evaluation.
B. Central venous thrombosis is a concern over a longer period and is not an immediate complication following catheter insertion.
C. Hypoglycemia could occur later with TPN administration but is not an immediate concern following catheter placement.
D. Pulmonary aspiration is unrelated to the insertion of a central venous catheter. It is more relevant to issues with enteral feedings or swallowing difficulties.

A. Ability to meet life's challenges B. Hope C. Will to survive D. Fear E. Energy

Correct Answer is ["A","B","C","E"]

Explanation

A. Ability to meet life's challenges is correct because psychosocial and spiritual interventions provide coping mechanisms and resilience.
B. Hope is correct as these interventions help instill optimism and a sense of purpose.
C. Will to survive is correct since emotional and spiritual support can enhance motivation and perseverance.
D. Fear is incorrect because these interventions are intended to reduce fear rather than cause it.
E. Energy is correct because improving mental well-being can contribute to increased vitality and motivation.

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Which intervention would the nurse plan to use for a patient who was working on a construction site and now presents to the hospital with profuse sweating, a temperature of 104°F (40°C), patent airway, tachycardia, acute confusion, and anxiety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted with severe malnutrition. A central venous catheter is placed in the right subclavian vein and total parenteral nutrition (TPN) is started. For which complication should the patient be evaluated immediately after insertion of the catheter?

Correct Answer is A

Explanation

What outcomes do psychosocial and spiritual interventions have the power to employ in a patient? (Select all that apply, one, some, or all.)

Correct Answer is ["A","B","C","E"]

Explanation

Which therapeutic technique may be used to enhance coping in the critical care environment?

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