A client complains to the nurse that her daughter often shivers after she comes out of a swimming pool. Based on this information, the nurse recognizes that the client needs further teaching about the mechanisms of shivering
What should the nurse's response be? A) "This could be serious; you should consult a physician immediately."
B) "This is an expected response; shivering is a body mechanism that assists temporary regulation."
C) "This may be risky; your daughter should avoid swimming completely."
D) "Your daughter should have a hot water bath as soon as she comes out of the pool."
B
Feedback:
The nurse should inform the client that shivering is a body mechanism that helps the body to regulate temperature. The client need not consult the physician or ask her daughter to avoid swimming. Having a hot water bath immediately after swimming may not be advisable.
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The physician orders potassium chloride 25 mEq p.o. q.8h. for an adult with hypokalemia. If the recommended adult dose is 10–100 mEq/d p.o. in divided doses, is the prescribed dose in the safe range? ______ Standard Text:
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The nurse is caring for a client with stomatitis. Which statement does the nurse include in teaching about oral care for this client?
a. "Rinse your mouth out twice a day with mouthwash." b. "Clean your mouth frequently during the day with a gentle foam sponge." c. "Use lemon-glycerin swabs to clean your mouth after meals and at bedtime." d. "Suck on ice cubes to minimize the dis-comfort."
A client has sustained damage to the ventral root of the lower thoracic spinal cord. When the client's wife asks if her husband will be paralyzed, the nurse explains:
A) "Your husband will not have any sensation from the neck down." B) "His kind of damage will cause flaccid paralysis in the lower extremities." C) "He will have flaccid paralysis from the neck down." D) "He will be able to move his extremities, but he won't be able to feel anything."
Which situation illustrates a screening assessment?
a. A patient visits an obstetric clinic for the first time and the nurse conducts a detailed history and physical examination. b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons. c. The nurse in an urgent care center checks the vital signs of a patient who is complaining of leg pain. d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood glucose level.