Week 2 Quiz: Thermoregulation
A client that spent the day at a theme park in soaking wet clothes on a cold day is diagnosed with hypothermia. The client asks the nurse how it is possible that this happened. Which of the following is the best response by the nurse? "Hypothermia is common in all situations. You should always make sure to check your temperature" "A person can get hypothermia from freezing cold weather, but also may get it from being wet and cold all day long. Cold water takes more heat than just cold air" "It's super common for people to get hypothermia when at theme parks so I don't recommend going unless it's hot out" "I'm not sure what happened, water doesn't usually cause hypothermia"
"A person can get hypothermia from freezing cold weather, but also may get it from being wet and cold all day long. Cold water takes more heat than just cold air"
A nurses receives report on several clients. The nurse knows to be most concerned about hyperthermia with which of the following client temperatures? 98.9F 104.2F 100F 103.9F
104.2F
A nurse receives a report on 4 clients and knows that which of the following clients is a priority to provide hypothermia prevention education? A homeless client that stays at a shelter A client that drinks alcohol daily at bars A client that lives in Florida A homeless client that stays at a shelter
A client that drinks alcohol daily at bars
The nurse is monitoring an adult patient. Which of the following signs would indicate a need for further assessment? Axillary temperature 100°F Temporal temperature 98°F Rectal temperature 100.5°F Tympanic temperature 99°F
Axillary temperature 100°F
A patient with hypothermia is brought to the emergency department. What treatment should the nurse anticipate? Ambulation to increase metabolism Frequent oral temperature assessment Gastric tube feedings to increase fluids Core rewarming with warm fluids
Core rewarming with warm fluids
A client is admitted after consuming alcohol and being out in the frigid weather without gloves. The fingers on the assessment are greyish/yellow color. The nurse should be concerned about which of the following? Cellulitis Frost bite Raynaud's Gangrene
Frost bite
What clinical indicator will the nurse likely identify when assessing a patient with pyrexia? Dyspnea Elevated blood pressure Precordial pain Increased pulse rate
Increased pulse rate
Which is the priority nursing invention for a patient with hyperthermia? Providing a blanket Initiating seizure precautions Limiting oral intake Removing excess clothing
Removing excess clothing
The nurse is admitting a patient to the emergency room on a cold winter night. Which assessment finding would cause the nurse to suspect hypothermia? Rapid pulse rate Slow capillary refill Increased respirations Red, sweaty skin
Slow capillary refill
A homeless person is brought to the emergency department after prolonged exposure to cold weather. What clinical manifestation would the nurse expect? Erythema Stupor Increased anxiety Rapid respirations
Stupor
