Author Question: The patient has developed pneumonia, and his temperature is 38.5C. The patient is shivering and ... (Read 52 times)

soccerdreamer_17 · **on:** Jul 22, 2018

The patient has developed pneumonia, and his temperature is 38.5C. The patient is shivering and feels uncomfortable. Which one of the following actions should the nurse take?

a. Apply hot packs to the axilla and groin.
b. Wrap the patient's four extremities.
c. Increase oral fluid consumption.
d. Apply a hypothermia mattress.

Question 2

A patient exhibits the following symptoms: tachycardia, increased thirst, headache, decreased urine output, and increased body temperature. After analyzing these data, the nurse assigns which of the following nursing diagnoses?

a. Adult failure to thrive
b. Hypothermia
c. Deficient fluid volume
d. Nausea

brbarasa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C

Feedback
A Measures to increase temperature would not be indicated for a temperature of 38.5C.
B External covering of the patient's body should be reduced, without inducing shivering in the patient.
C The patient's oral fluid consumption should be increased (3 L per day for the patient with normal cardiac function and renal function).
D The environmental temperature should be controlled without inducing shivering in the patient.

Answer to Question 2

C
The signs the patient is exhibiting are consistent with dehydration. Even without knowing the clinical manifestations of dehydration, the question can be answered by the process of elimination. Adult failure to thrive, hypothermia, and nausea are not appropriate diagnoses because data are insufficient to support these diagnoses.