A client has been receiving treatment for hypothermia. Which assessment finding indicates nursing interventions have been successful?
A) Current temperature of 95 °F
B) Heart rate of 72 and regular
C) Continues to shiver
D) Blood pressure of 88/54 mmHg
Answer: B
Evidence of successful treatment for hypothermia is a heart rate of 72 and regular. The other findings indicate a continued low body temperature.
You might also like to view...
When teaching nursing preceptors about power, which statement indicates learning has been successful?
1. ?I am only showing the student how to take care of patients so I have no need for power.? 2. ?I can use power to teach the student how to motivate, communicate, and achieve outcomes.? 3. ?I do not want to give the student the idea that nurses are all about who has the most power.? 4. ?I can use power to ensure other disciplines know I am the one who really does the work.?
Directions: Convert the following weight as indicated. Round weight to the nearest tenth
6.4 lb = _____ kg
During a head and neck assessment, the nurse notes that the client's neck is enlarged, which is later confirmed to be due to a goiter. The client's serum thyroid levels are within normal limits. Which type of goiter does the nurse suspect?
A) Toxic multinodular goiter B) Endemic goiter C) Nontoxic diffuse goiter D) Chronic autoimmune thyroiditis
A patient asks why the nurse is playing with an iPad in the midst of providing care. What should the nurse respond to this patient?
1. "I'm just typing in notes to remember what care I provided to you." 2. "This is just a way for nurses to communicate instead of calling out to each other." 3. "I just needed to check and make sure I did everything that you needed at this time." 4. "This is a part of the computer system that is used to confidentially document your care."