The nurse is preparing to take the patient's temperature. Which of the following may cause the temperature to fluctuate? (Select all that apply.)
a. Age
b. Stress
c. Hormones
d. Medications
A, B, C, D
Older adults have a narrower range of temperature than younger adults. A temperature within an acceptable range in an adult may reflect a fever in an older adult. Undeveloped temperature control mechanisms in infants and children cause temperature to rise and fall rapidly. Stress elevates temperature. Women have wider temperature fluctuations than men because of menstrual cycle hormonal changes; body temperature varies during menopause. Some drugs impair or promote sweating, vasoconstriction, or vasodilation, or interfere with the ability of the hypothalamus to regulate temperature.
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The nurse is caring for a patient who has had a seizure and is crying, saying life is over, and that working and driving will no longer be possible. Which response by the nurse is most appropriate?
a. "Maybe the social worker can help you identify some alternative activities." b. "You may be able to work again in time; you can use public transportation." c. "With good seizure control, you should be able to work and drive again." d. "You should be able to discontinue your medication within a month and return to work."
A client calls the clinic and tells the nurse that he was bitten by a tick and is afraid he has Lyme disease. How long does the nurse understand that the tick must be attached to have Lyme disease?
A) 1 to 2 hours B) 12 to 24 hours C) 24 to 36 hours D) 36 to 48 hours
It is suspected that a patient admitted with spinal cord injury has severe cord injury. The nurse would prepare the patient for which diagnostic test to determine the extent of this edema?
1. Angiography 2. Somatosensory-evoked potentials 3. CT scan 4. MRI
A mother of a school-aged child asks the nurse why her child continues to have itching with no sign of mites. Which response by the nurse is the most appropriate?
1. "You will have to switch to something else besides Lindane (Kwell)." 2. "Itching is common, even after the mites have been killed." 3. "The mites are too small to see, and treatment should be continued." 4. "Lindane (Kwell) usually works, but your child must need something stronger."