A nurse is caring for a client with severe hypothermia. What should the nurse do when
providing care to the client during the rewarming process?
A) Move the client to a cooler area
B) Provide warm fluids, if the client can swallow
C) Uncover the client's head
D) Keep the client calm
B
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In which of the following patients, would diagnostic investigations least likely reveal increased thrombopoietin production?
A) An 81-year-old woman with diagnoses of rheumatoid arthritis and failure to thrive B) A 55-year-old man with dehydration secondary to Crohn disease C) A 66-year-old woman with a diagnosis of lung cancer with bone metastases D) A 21-year-old woman awaiting bone marrow transplant for myelogenous leukemia
A patient with a diagnosis of colon cancer has undergone a bowel resection with the creation of an ileostomy
The patient's ileostomy output has been unexpectedly high in the 2 days since surgery, and the patient's most recent blood work indicates a K+ level of 2.7 mEq/L. This potassium level should prompt the nurse to assess for which of the following physical manifestations? A) Confusion and decreased level of consciousness B) Shortness of breath, rales, and peripheral edema C) Dysphagia, tetany, and emotional lability D) Fatigue, cramps, and weakness
The nurse is demonstrating active listening when:
a. while assessing the patient's vital signs, the nurse records the data and states, "You are improving, your vital signs are normal." b. eye contact is maintained while focusing on the patient as the patient describes the current pain level and location. c. he or she states, "I know how you feel, I recently lost my father and I am still hurting." d. cultural values are in opposition to the patient but shares that "I agree with your decision to use herbs rather than the prescribed medications."
Ketones are present in a urine specimen of a client in the beginning phases of labor. What should the nurse consider as the reason for this laboratory finding? Select all that apply
1. Edema 2. Vomiting 3. Dehydration 4. Preeclampsia 5. Insulin resistance