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Nurse 612-Exam 1 Unit 1, 2, 3 Test Questions and Correct Answers

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An older adult's dysfunctional temperature regulator function places the client at greatest risk for: A) Acute dementia B) Delayed initiation of appropriate treatment C) Acute renal failure D) Misdiagnosis of pathology B A client asks why his temperature is always below 98.6F. The nurse responds: A) The best way to bring your body temperature up to normal is to live in a warmer climate B) Some people maintain a core body temperature of 41C and that is normal for them C) A person's highest point of core temperature is usually first thing in the morning D) Normal core temperature varies between individuals within the range of 97F to 99.5F D The nurse assessing a client admitted with a diagnosis of "fever of unknown origin" notes that the temperature is elevated, but the heart rate is within normal range. What further assessment will the client require? A) Test for Legionnaire disease B) V/Q scan for pulmonary emboli C) Thyroid scan for nodules D) Sedimentation rate for RA A A 24-year-old woman presents with fever and painful swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has: A) A mild viral infection B) A mild parasitic infection C) A severe bacterial infection D) A severe fungal infection C A nurse is providing care for several clients on a neurological unit of a hospital. With which of the following clients would the nurse be justified in predicting a problem with thermoregulation? A) A 66 year old male with damage to his thalamus secondary to a cerebral vascular accident B) A 22 year old male with damage to his cerebellum secondary to a motorcycle accident C) A 45 year old female with a T8 fracture secondary to a diving accident D) A 68 year old male with end stage neurosyphilis A While sponging a client who has a high temperature, the nurse observes the client begins to shiver. At this point, the priority nursing intervention would be to: A) Administer an extra does of aspirin B) Stop sponging the client and retake a set of vital signs C) Increase the room temperature by turning off the air conditioner and continue sponging the client with warmer water D) Place a heated electric blanket on the client's bed B A client has an increase in core body temperature. What assessment findings does the nurse expect? A) Flushed skin B) Decreased skin temperature C) Blue nail beds D) Decreased urination A

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