The emergency department nurse quickly assesses the temperature of an unconscious patient who has been outside all night in below-freezing temperatures. What temperature is the nurse aware of that can lead to death?
a. 95.2 ° F
b. 93.0 ° F
c. 93.2 ° F
d. 90.8 ° F
ANS: C
Death can occur if the temperature falls below 93.2 ° F.
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The nurse is feeding an older adult patient with hemiparesis as a result of a stroke. Which intervention by the nurse is most important when feeding this patient?
a. Allow time to empty the mouth between bites. b. Provide foods that require chewing. c. Offer small sips of fluids with each bite. d. Serve pureed foods only.
Which of the following best describes how care can be appropriately given in a community?
a. Provide individualized care to unique individuals as much as resources allow. b. Consider the community itself as the "client." c. Administer care according to the priorities of the local health department. d. Prioritize care for the sickest populations first.
For which of the following reasons should the nurse always encourage a client with tuberculosis to perform active range-of-motion (ROM) exercises three times a day?
A) For medication absorption C) For use as a baseline for evaluation B) For maintaining muscle strength D) For effective pain control
Ordered: heparin infusion 1000 units per hour Available: heparin 20,000 units in 1000 mL 0.9 NaCl solution Agency policy requires that heparin be administered with an infusion pump. IV flow rate the nurse should set on infusion pump:
a. DA equation: b. Evaluation: c. Which antidote is used for heparin overdose: vitamin K or protamine sulfate? d. What are the general SDR guidelines, in units per 24 hours, for IV heparin?