A patient is admitted for mild hypothermia. Which manifestations should the nurse expect when assessing this patient? (Select all that apply.)
a. Pinpoint pupils
b. Depleted glucose stores
c. Increased respiratory rate
d. Decreased respiratory rate
e. Decreased muscular activity
f. Decreased heart rate and cardiac output
ANS: B, D, E, F
In mild hypothermia, the patient is usually alert, shivering, and may appear clumsy, apathetic, or irritable. Hypoglycemia can occur because glucose and glycogen stores are depleted by long-term shivering. C. Respiratory rate, heart rate, and cardiac output decrease. A. Pupils are dilated when temperature falls below 89.6°F.
You might also like to view...
A nurse develops a dietary plan for a client with diabetes mellitus and new-onset microalbuminuria. Which component of the client's diet should the nurse decrease?
a. Carbohydrates b. Proteins c. Fats d. Total calories
An older adult client is brought to the emergency department by an adult child with a preliminary diagnosis of dehydration
The client is agitated and when asked by the nurse to open the mouth the client yells, "You don't need to look in my mouth to see what is wrong with me!" Which rationale for conducting a mouth assessment is the most accurate? 1. That a complete physical exam must be performed. 2. To assess for poorly fitting dentures. 3. To assess for oral lesions. 4. To assess mucous membranes.
What drug would the nurse administer for its antiplatelet effects? (Select all that apply.)
A) Ticlid B) Iprivask C) Arixtra D) ReoPro E) Activase
Which of the following can a nurse do to improve her own health and self-care?
a. Meditate b. Exercise c. Never call off from work d. Structure time to maximize task completion