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 A
Explanation
Maintaining optimal bladder emptying. A client with benign prostatic hyperplasia (BPH) may have difficulty urinating due to an enlarged prostate gland. To maintain optimal bladder emptying, the nurse may teach the client to double void, sit down while urinating, and avoid caffeine and alcohol.
Leg exercises, choice B, may be helpful in preventing blood clots but are not directly related to BPH.
Coping strategies, choice C, may be helpful for reducing anxiety but do not address the management of BPH.
Deep breathing exercises, choice D, may be helpful for reducing anxiety but do not address the management of BPH.
Correct Answer is B
Explanation
A decrease in grasp strength. Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Common assessment findings include numbness, tingling, and pain in the hand and fingers, weakness in the hand, and a decrease in grasp strength.
Choice A, pain radiating down the dorsal surface of the forearm, is not the correct answer because it is a common symptom of tennis elbow.
Choice C, inability to flex index and middle fingers, is not the correct answer because it is a symptom of trigger finger.
Choice D, tenderness in the affected wrist, is not the correct answer because it is a common symptom of wrist sprains or strains.
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