Author Question: The nurse is working at a local fair on a warm day in August. Which reading would concern the nurse ... (Read 84 times)

joe

  • Hero Member
  • *****
  • Posts: 627
The nurse is working at a local fair on a warm day in August. Which reading would concern the nurse the most?
 
  1. 22-year-old man with temperature of 100.2 F oral
  2. 74-year-old woman with temperature of 100.8 F oral
  3. Newborn temperature of 99.6 F axillary
  4. Middle-aged adult with temperature of 99.2 F oral

Question 2

The nurse is caring for a homeless client brought to the emergency department with possible hypothermia. The nurse places the pulse oximeter probe on the client's finger and gets a reading of 38.
 
  The client's respiratory rate is 22 breaths per minute, breath sounds are clear and equal, color is pale pink, and the client denies any history of respiratory distress. Which is the priority action by the nurse?
  1. Apply oxygen
  2. Call the health care provider
  3. Call the rapid response team
  4. Move the pulse oximetry sensor to the ear or nose



bubulittle310@msn.cn

  • Sr. Member
  • ****
  • Posts: 281
Answer to Question 1

Correct Answer: 2

Older adult clients do not have efficient temperature regulatory systems, placing them at increased risk for hypothermia and hyperthermia. On a warm day, an older adult client with a temperature of 100.8 F would be a concern to the nurse, who would attempt to cool the client and encourage fluid intake. It is not unusual for the other adult clients to have a mildly elevated temperature on a warm day. Newborns' temperatures are highly dependent on environmental temperature and how they are dressed, so the infant should be undressed and allowed to cool, and then temperature should be reassessed.

Answer to Question 2

Correct Answer: 4

The nurse should move the sensor to a central area, such as the ear or nose, because the client who was exposed to the cold most likely has diminished peripheral perfusion, which could give a falsely low oximetry reading. The client's assessment does not indicate respiratory distress, so application of oxygen or calling the health care provider would not be warranted at this time. The rapid response team usually is not required in the emergency department because there are health care providers available.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

For a complete list of videos, visit our video library