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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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: 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 - Answer: A
Which of the following patients is most likely to have impairments
to the wound healing process? A patient with:
A) A diagnosis of multiple sclerosis and consequent impaired
mobility
B) Poorly controlled blood sugars with small blood vessel disease
C) Chronic obstructive pulmonary disease
D) Congenital heart defects and anemia - Answer: B