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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
"Impaired verbal communication," "Impaired swallowing," and "Self-care deficit." These are all potential nursing diagnoses for a client who has suffered a cerebral vascular accident. Pain may not be a priority nursing diagnosis in this situation.
Correct Answer is A
Explanation
Hyperkalemia. Confusion, abdominal cramping, racing heart rate, and numbness of the extremities are symptoms associated with hyperkalemia, a condition where the potassium level in the blood is too high.
Hypocalcemia, choice B, is characterized by muscle spasms, numbness, and tingling around the mouth and fingertips.
Elevated urea levels, choice C, may be associated with decreased urine output, fatigue, and shortness of breath.
Elevated white blood cells, choice D, may indicate an infection.
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