A nurse is using a hypothermia blanket for a client with a very high temperature. Which
should the nurse keep in mind when caring for this client?
A) Stop treatment when temperature reaches normal
B) Monitor blood pressure continuously
C) Check the client's core temperature frequently
D) Arrange for an aquathermia pad to be ready to use
C
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A patient with peritonitis develops a temperature of 103° F (39.4° C), is restless, has blood pressure of 85/45 and has a urinary output of 76 mL in 8 hours. The nurse should develop a plan of care related to which health problem?
1. hypovolemic shock 2. inflammation 3. third spacing 4. bowel dysfunction
In a medical emergency, Health Insurance Portability and Accountability Act (HIPAA) regulations allow for sharing clinical information with other persons providing care, even without the client's explicit permission. However, this is:
a. without restriction or written or verbal authorization for the duration of the emergency b. including any and all information that is authorized by the next of kin c. if the receiving health care provider requests it d. including only information that is reasonably necessary to safely resolve the emergency
Which of the following activities is tertiary prevention?
1. Providing immunizations 2. Conducting lead screening activities for children 3. Case management services that link patients with chronic illness to health care and community support services 4. Identifying and treating patients in a TB clinic
A patient who has been diagnosed with rheumatoid arthritis for 1 month and has generalized symptoms is taking high-dose NSAIDs and an oral glucocorticoid. The provider has ordered methotrexate (Rheumatrex)
The patient asks the nurse why methotrexate is necessary since pain and swelling have been well controlled with the other medications. The nurse will tell the patient that: a. a methotrexate regimen can reduce overall costs and side effects of treatment. b. starting methotrexate early can help delay joint degeneration. c. starting methotrexate now will help increase life expectancy. d. with methotrexate, doses of NSAIDs can be reduced to less toxic levels.