Heat or cold applications are beneficial for certain health conditions. A nurse should administer these therapies safely and effectively to prevent complications that can occur owing to extreme heat or cold. A client is undergoing surgery
What is the best temperature during surgery to help prevent surgical site infections? A) Hypothermia
B) Normothermia
C) Hyperthermia
D) Hypothermia or hyperthermia
B
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It has been proven, for example, that normothermia, not hypothermia or hyperthermia, during surgery helps prevent surgical site infections (SSI) and other complications. Surgical clients are particularly vulnerable to hypothermia (abnormally low body temperature).
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A 4-year-old boy is postoperative day one following surgery for trauma suffered in a motor vehicle accident. The boy is in pain, and the nurse is preparing to administer a dose of hydromorphone syrup as ordered
To administer this drug, the nurse should use A) a teaspoon. B) a transparent, 2-ounce medication cup. C) a parenteral syringe with the needle removed. D) an oral syringe.
An older adult with a gastrostomy tube has difficulty using the dominant hand. Which of the following should the nurse provide to prevent complications of the gastrostomy tube?
a. Use foam swabs to brush the teeth. b. Provide oral care every 4 hours. c. Supply a soft tooth brush and floss. d. Position the patient at 90 degrees for tube feedings.
The nurse is assessing a client with an early onset of multiple sclerosis (MS). Which clinical manifestation does the nurse expect to see?
a. Hyperresponsive reflexes b. Excessive somnolence c. Nystagmus d. Heat intolerance
The 70-year-old client is brought to the emergency department in a coma believed to be caused by a brain attack
Which of the following questions is appropriate for the nurse to ask the family to help determine whether the coma is related to a brain attack? A. How many hours does the client usually spend sleeping at night and in the day-time? B. Did the client ever describe weakness in the lower extremities in the past few days? C. Is there any history of seizures among the client's siblings or parents? D. Does the client have a history of drug or alcohol use or abuse?