Practicing for NCLEX Questions: Thermoregulation

A patient with frostbite to both lower extremities from exposure to the elements is preparing to have rewarming of the extremities. What interventions should the nurse provide prior to the procedure? A. Give an analgesic as prescribed B. Massage the extremities C. Elevate the legs D. Apply a heat lamp

A. Give an analgesic as prescribed

The nurse has applied a hypothermia blanket to a patient with a fever. A priority for the nurse is to inspect the skin frequently to detect which complication of hypothermia blanket use? A. Frostbite B. Skin breakdown C. Venous insufficiency D. Arterial insufficiency

B. Skin breakdown

The nurse would be alerted to the occurrence of malignant hyperthermia when the patient demonstrates what manifestation? A. Hypocapnia B. Muscle rigidity C. Decreased body temperature D. Confusion upon arousal from anesthesia

B. Muscle rigidity

A patient treated for an episode of hyperthermia is being discharged to home. The nurse determines that the patient needs clarification of discharge instructions if the patient states a need to perform which action? A. Increase fluid intake B. Resume full activity level C. Stay in a cool environment when possible D. Monitor voiding for adequacy of urine output.

B. Resume full activity level

The nurse in the newborn nursery is preparing to complete an initial assessment on a newborn infant who was just admitted to the nursery. The nurse should place a warm blanket on the examining table to prevent heat loss in the infant caused by which method? A. Radiation B. Convection C. Conduction D. Evaporation

C. Conduction

The nurse assisted with the delivery of a newborn. Which nursing action is most effective in preventing heat loss by evaporation? A. Warming the crib pad B. Closing the doors to the room C. Drying the infant with a warm blanket D. Turning on the overhead radiant warmer

C. Drying the infant with a warm blanket

The nurse is caring for an unconscious patient who is experiencing persistent hyperthermia with no signs of infection. The nurse interprets that the hyperthermia may be related to damage to the client's thermoregulatory center in which structure? A. Cerebrum B. Cerebellum C. Hippocampus D. Hypothalamus

D. Hypothalamus

The nurse is developing a plan of care for an older patient that addresses interventions to prevent cold discomfort and the development of accidental hypothermia. The nurse should document which desired outcome in the plan of care? A. The patient's body temperature is 98° F. B. The patient's fingers and toes are cool to touch. C. The patient remains in a fetal position when in bed. D. The patient complains of coolness in the hands and feet only.

A. The patient's body temperature is 98° F

A nurse is assigned to the care of a patient hospitalized with a diagnosis of hypothermia. The nurse anticipates that the patient will exhibit which findings on assessment of vital signs? A. Increased heart rate and increased blood pressure B. Increased heart rate and decreased blood pressure C. Decreased heart rate and increased blood pressure D. Decreased heart rate and decreased blood pressure

D. Decreased heart rate and decreased blood pressure

The nurse has just administered ibuprofen (Motrin) to a child with a temperature of 38.8° C (102° F). The nurse should also take which action? A. Withhold oral fluids for 8 hours. B. Sponge the child with cold water. C. Plan to administer salicylate (aspirin) in 4 hours. D. Remove excess clothing and blankets from the child.

D. Remove excess clothing and blankets from the child.