When making initial rounds, the nurse notes a client's shivering. Which of the following processes are stimulated by the hypothalamus to increase the body temperature? Standard Text: Select all that apply
1. Shivering
2. Sweating
3. Vasoconstriction
4. Vasodilation
5. Increased respiratory rate
1,3
Rationale: The hypothalamus stimulates shivering to increase heat production.
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The nurse is caring for a 2-year-old child in the postoperative period. The pain assessment tool most appropriate for assessment of pain intensity in a 2-year-old is the:
1. FLACC Behavioral Pain Assessment Scale. 2. Faces Pain Rating Scale. 3. Oucher Scale. 4. Poker Chip Tool.
A nurse is working as part of a multidisciplinary team and developing a plan of care for a client who is receiving recovery-oriented treatment. Which of the following would the nurse integrate into this plan?
A) Focusing primarily on the mind B) Limiting support from others C) Using hope as motivation D) Avoiding underlying trauma
The nurse is reviewing new medication orders for several patients in a long-term care facility. Which patient does the nurse recognize as being at the highest risk for having cognitive impairment related to prescribed medications?
a. The patient prescribed an antibiotic for a urinary tract infection. b. The patient prescribed a cholinesterase inhibitor for early Alzheimer's disease. c. The patient prescribed a beta-blocker for hypertension. d. The patient prescribed a bisphosphonate for osteoporosis.
A client, age 25, has been diagnosed with adjustment disorder, unspecified. His wife requested a divorce 2 months ago, and his work has been adversely affected. Now he is in danger of losing his job
Which of the following statements indicates that the client needs assistance in structuring his daily activities? 1. "My work hours are 9 a.m. to 5 p.m., which is not that bad." 2. "All I want to do is get the job done, come home, and sleep." 3. "I guess I should include exercise in my daily schedule." 4. "Going out to eat with friends might be an enjoyable activity for me."