Which of the following interventions would be appropriate for a client who has undergone surgery for a disorder and has started shivering?

Place the client on a hypothermia blanket.

Provide the client with warm fluids.

Cover the client with a light blanket.

Ensure that the room temperature is below 70°F.

Answer and Explanation

The Correct Answer is B

Provide the client with warm fluids. Shivering is the body's natural response to try to warm itself up. Providing warm fluids to the client can help to increase the client's core temperature and decrease shivering.

Choice A is incorrect because a hypothermia blanket is used to reduce the client's core temperature, which is not appropriate for a client who is shivering.

Choice C is incorrect because a light blanket may not provide enough warmth for the client who is shivering.

Choice D is incorrect because the room temperature should be kept warm to prevent the client from getting colder and shivering more.

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Correct Answer is D

Explanation

Cerebrospinal fluid is cloudy in nature. Cloudy cerebrospinal fluid is a sign of infection or inflammation in the central nervous system, and lumbar puncture can be used to obtain cerebrospinal fluid for diagnostic purposes. The nurse should report this finding immediately to the physician for further evaluation and management.

Choice A, client states a piercing feeling, is incorrect because a piercing feeling is common during the procedure due to the insertion of the needle into the subarachnoid space.

Choice B, physician maintains aseptic procedure, is incorrect because maintaining aseptic technique during the procedure is standard protocol to prevent infection.

Choice C, client states a pressure relief in the head, is incorrect because this is not a concerning finding during the procedure.

A. There will be blood and mucus initially exiting the stoma. B. The stoma will shrink a bit over a period of weeks. C. The stool will be of normal consistency and color. D. The stoma should be beefy red. E. Drainage will begin approximately 24-48 hours following surgery.

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

Explanation

Pre-operative education is successful when the client states that there will be blood and mucus initially exiting the stoma, the stoma will shrink a bit over a period of weeks, the stoma should be beefy red, and drainage will begin approximately 24-48 hours following surgery. These statements indicate that the client has a good understanding of what to expect after surgery.

Option C, The stool will be of normal consistency and color, is not a correct answer as the stool from an ostomy is different from normal stool consistency and color.

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Which of the following interventions would be appropriate for a client who has undergone surgery for a disorder and has started shivering?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

Correct Answer is D

Explanation

The nurse is providing patient education for a client who is going to have an ostomy created due to chronic Crohn's disease. The nurse has decided that pre- operative education is successful when the client states:. (select all that apply).

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

Explanation

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