You have diagnosed heat stroke in a 61-year-old male patient when you found him responsive to painful stimuli while lying on the floor of his very hot apartment. He is pale and hot to the touch, not sweating, and tachycardic, and he has a core temperature of 105° F. Appropriate initial care for this patient is to:
A) Move him to a cooler environment and begin rapid cooling
B) Administer a KVO IV of Ringer's lactate
C) Administer oxygen at 4 LPM via nasal cannula
D) Package him in several blankets
Answer: A) Move him to a cooler environment and begin rapid cooling
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A woman comes to the clinic for her 24-week prenatal visit. This is her second pregnancy. The patient does not wish to know her weight and when her clinic record is reviewed, her total weight gain for this pregnancy is 5 pounds. She is very concerned about her changing body shape. What disorder does the nurse suspect?
A. Anemia B. Anorexia nervosa C. Gestational diabetes D. Gestational hypertension
The nurse is assessing a patient whose chart indicates a Grade 3 heart murmur. What action is best in order to hear the murmur?
a. Ensure that the room is extremely quiet. b. Use a specialized stethoscope with amplification. c. Auscultate the patient's chest with a stethoscope. d. Place the stethoscope diaphragm on the patient's back.
A patient is diagnosed with a low iron count. The nurse realizes that this patient might demonstrate signs of which of what health problem?
1. increased carbon dioxide in the blood 2. nausea 3. anxiety 4. poor tissue oxygenation
During the immediate postburn period, the nurse assesses the client for injuries other than burns. Which of the following assessments indicates a potential problem?
1. Coughing 2. Urine output of 30 ml/hour 3. Presence of eschar 4. Presence of edema