A homeless person is brought to the emergency department after having been found asleep on a park bench under a layer of snow. He has a rectal temperature of 95° F. Which additional symp-toms should the nurse anticipate?
a. Diminished breath sounds and inadequate chest expansion
b. Shivering, decreased heart rate, and in-creased blood pressure (BP)
c. Confusion, increased hunger, and hyper-tension
d. Decreased irregular heart and respiratory rates and decreased BP
D
A patient with hypothermia will continue to chill as his or her vital signs deteriorate.
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What order for a digitalizing dose of digoxin (Lanoxin) for a 62-year-old man would the nurse consider appropriate and safe to administer?
A) 1.25 mg IV now B) 0.75 mg orally now C) 0.25 mg orally every day D) 1 mg intramuscularly every 4 hours × 24 hours
Which of the following nursing interventions should the nurse perform while providing spiritual care for a dying client?
A) Encourage family members in their frank communication. B) Provide spiritual books. C) Ask the family members about spiritual care. D) Allow a period of privacy.
A client is complaining of abdominal pain described as dull, aching, and cramping. The nurse would record this pain as
a. parietal. b. referred. c. spasmodic. d. visceral.
The parent of a toddler consults the nurse regarding the most appropriate time to have the child immunized with the varicella vaccine. The child was hospitalized at age 14 months and required a blood transfusion
Based on the child's age, the most appropriate time for the child to receive the varicella vaccine is at age _____ months. a. 22 b. 25 c. 28 d. 30