A 38-year-old male client with mild hypothermia following a ...

[Lisaclaire]

A 38-year-old male client with mild hypothermia following a prolonged hike in the rain is brought to hospital by ambulance. Which of the following sets of vital signs would be the most characteristic of the client's diagnosis?
 
  A)
  BP 178/102; RR 12; HR 58
  B)
  BP 109/68; RR 9; HR 130
  C)
  BP 160/99; RR 30; HR 66
  D)
  BP 138/84; RR 28; HR 111

Question 2

A client with a diagnosis of sepsis has received intravenous immune globulin (IVIG) as a partial treatment. The nurse knows which of the following client responses listed below would best suggest an accurate understanding of IVIG treatment?
 
  A)
  These antibodies in the solution have been collected from individuals who have successfully fought off the same infection.
  B)
  The IVIG should help stimulate fever, inflammation, and tissue repair in the fight against the infection.
  C)
  A big part of my IVIG treatment is actually stimulating and supplementing my immune system to do the work itself.
  D)
  The main effect of IVIG is to cause my body to produce more white blood cells to fight infection.

[polinasid]

Answer to Question 1

Ans:
D

Feedback:

Mild hypothermia is associated with accelerated HR, slightly increased BP, and hyperventilation; these parameters are best characterized by the vital signs referred in answer D.

Answer to Question 2

Ans:
C

Feedback:

IVIG involves infusion of pooled antibodies that supplement and stimulate the client's immune system to respond above and beyond its own capacities. It is not collected from individuals who have had similar infections. The primary effect of IVIG is not white blood cell production. Stimulation of fever, inflammation, and tissue repair are more closely associated with cytokine therapy.