The nurse is volunteering at a homeless shelter. What intervention should be taken for a patient admitted with severe hypothermia?

a. Give the person hot coffee or soup.
b. Place the person in a warm bath.
c. Briskly rub the person's hands.
d. Wrap the person in blankets.


ANS: D
The hypothermic individual should be moved to a warmer environment, wrapped in blankets or other insulating material, and given warm, not hot, drinks or food. Putting an individual in a warm bath may cause cardiovascular problems or skin damage.

Nursing

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The nurse is assessing a client who demonstrates physiologic manifestations of a stress response. Which physiologic manifestations result for the inhibition of the parasympathetic nervous system?

Select all that apply. A) Dry oral mucous membranes B) Hypoactive bowel sounds C) Increased heart rate D) Increased respiratory rate E) Increased depth of respirations

Nursing

When a chronically ill 80-year-old client is admitted to your acute care facility in an unconscious state, the nurse's priority is to determine:

a. the client's wishes concerning a 'good death' b. where the client's living will can be found c. if the client has expressed a wish to be a "do not resuscitate" (DNR). d. who is the client's durable power of attorney for health care (DPAHC).

Nursing

The nurse cares for a neonate who appears in pain. The neonate has tight facial muscles, loud and shrill cry, rapid breathing, tense extremities and is thrashing about. Using the NIPS pain scale, which number will the nurse give the neonate?

A. 5 B. 6 C. 7 D. 8

Nursing

Each small line on the upper bar of the upright scale indicates 4 ounces of weight.

Answer the following statement true (T) or false (F)

Nursing