MS Lesson 2: Thermoregulation - Evolve

A patient with hypothermia is brought to the emergency department. What treatment should the nurse anticipate? A. Core rewarming with warm fluids B. Gastric tube feedings to increase fluids C. Frequent oral temperature assessment D. Ambulation to increase metabolism

A

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? A. Slow capillary refill B. Red, sweaty skin C. Rapid pulse rate D. Increased respirations

A

A child is about to be admitted to the pediatric intensive care unit (PICU) after surgery for removal of a tumor in the hypothalamic region of the brain. Which action by the nurse caring for the child requires the nurse manager to intervene? A. Obtains electronic equipment for monitoring the vital signs B. Adjusts the bed to the Trendelenburg position C. Secures a pump to administer the ordered intravenous fluids D. Places a hypothermia blanket at the bedside

B

Which is the priority nursing invention for a patient with hyperthermia? A. Initiating seizure precautions B. Limiting oral intake C. Removing excess clothing D. Providing a blanket

C

A homeless person is brought to the emergency department after prolonged exposure to cold weather. What clinical manifestation would the nurse expect? A. Rapid respirations B. Increased anxiety C. Erythema D. Stupor

D