A homeless person is brought to the ER after having been found asleep on a park bench under a layer of snow. He has a rectal temperature of 97? F. The nurse anticipates which of the following additional symptoms?
1. Diminished breath sounds, inadequate chest expansion
2. Shivering, decreased heart rate, and increased blood pressure
3. Confusion, increased hunger, hypertension
4. Decreased irregular heart and respiratory rates, decreased blood pressure
4
The hypothermic client will continue to chill as vital signs deteriorate.
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The nurse has started to complete a family health tree. Which of the following questions would be most helpful as the nurse works with the family to promote their health?
a. "Can you tell me the cause of death of your older relatives back several generations?" b. "Do you know of any chronic health problems any of your relatives or their spouses have had?" c. "What concerns do you have about your family's health?" d. "What do your family members do to keep in shape and handle stress?"
Which of the following advice should the nurse give a self-conscious client with hearing loss to protect his or her self-esteem?
A) Pretend to follow conversations by nodding the head. B) Be forthright and inform others about the hearing deficit. C) Follow lip movements closely. D) Avoid excess socializing.
The nurse suspects that a patient's death was related to faulty monitoring equipment. What is the nurse's duty to report?
1. The nurse must notify the patient's survivors. 2. The nurse must notify hospital risk management. 3. The nurse must notify local law enforcement. 4. The nurse must notify the Food and Drug Administration.
The nurse is conducting a health history assessment for a preschool-age child who is in pain. Which actions by the nurse are appropriate? Select all that apply
1) Using a numerical pain scale 2) Using age-appropriate language, such as "wound" 3) Using a doll to assess the location of the pain 4) Having the child draw a picture of the pain 5) Asking the parents to leave the room