When re-warming a hypothermic patient, the nurse can expect to:
A) Assess oral temperature frequently
B) Provide continuous electrocardiogram (ECG) monitoring
C) Administer unwarmed oxygen
D) Find a strong pulse
Ans: B
Feedback: A hypothermic patient requires continuous ECG monitoring; assessment of core temperatures with an esophageal, bladder, or rectal thermistor; and administration of warmed oxygen. The patient will have a weakened pulse and blood pressure.
You might also like to view...
When caring for a patient who has had a hemorrhagic stroke, close monitoring of vital signs and neurological status is imperative. What is the earliest sign of deterioration in a patient with a hemorrhagic stroke?
A) Headache B) Alteration in level of consciousness (LOC) C) Tonic-clonic seizures D) Shortness of breath
The nurse is caring for a patient status post MVA. The patient has developed ARF. What is the nurse's role in caring for this patient? (Mark all that apply.)
A) Provides emotional support for the family B) Monitors for complications C) Participates in emergency treatment of fluid and electrolyte imbalances D) Provides nursing care for primary disorder E) Directs nutritional status
A patient diagnosed with chronic obstructive pulmonary disease (COPD) is on oxygen therapy at 3 L per nasal cannula . Which assessment finding should alert the nurse to a potential problem with this patient?
a. Respiratory rate of 26 b. Low carbon dioxide levels c. Arterial oxygen saturation level of 99% d. Lower oxygen saturation levels at night than during the day
The nurse is describing the mechanism of action of antimetabolites to a client with cancer. Which statement best describes how the antimetabolites kill cancer cells?
1. "They use the body's immune system to kill tumor cells." 2. "They disrupt metabolic pathways, slowing growth of cancer cells." 3. "They contain bacterial substances that can kill cancer cells." 4. "They change the shape of the DNA and prevent division of cancer cells."