Multi Dimensional Care | Exam | Rasmusson

Multi Dimensional Care | Exam | Rasmusson Related

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The nurse is caring for a 65-year-old client and notes a temperature of 101°F. How does the nurse interpret this finding?

  • A. Hyperthermia
  • B. A cold environment
  • C. Normal
  • D. Hypothermia
Correct Answer: A

Rationale: A temperature of 101°F is indicative of hyperthermia, which is an elevated body temperature. Hyperthermia is commonly associated with fever or environmental factors such as excessive heat exposure. Choice B, 'A cold environment,' is incorrect as hyperthermia refers to elevated body temperature, not a cold environment. Choice C, 'Normal,' is incorrect as a temperature of 101°F is above the normal range for body temperature. Choice D, 'Hypothermia,' is incorrect as hypothermia refers to a low body temperature, not an elevated one.

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Which of the following nonpharmacological methods cannot be used to manage the
chronic pain of a client with rheumatoid arthritis?

  • A. Adequate rest
  • B. Heat for 20-30 minutes
  • C. Hot showers
  • D. Ice for 2 hours at a time
Correct Answer: D

Rationale:

A client states that he has been experiencing oozing from his wounds. What is
the nurse's priority action?

  • A. Insert the wound and assess the drainage
  • B. Apply topical ointment to the wound
  • C. Call the provider to initiate antibiotics
  • D. Culture the wound
Correct Answer: D

Rationale:

A nurse is teaching a client who has fibromyalgia about strategies that might
help reduce her symptoms. What should the nurse include in the client
education?

  • A. Avoid exercise during flare-ups
  • B. Do high impact exercises like running
  • C. Establish a regular sleep pattern
  • D. Increase calcium and caffeine intake
Correct Answer: C

Rationale:

What is the likely reason that a client with acquired immunodeficiency
syndrome (AIDS) would succumb to pneumonia while a healthy person exposed
to the same infection did not?

  • A. The client with AIDS is a susceptible host
  • B. The client with AIDS has greater immune defenses
  • C. The client with AIDS was not as careful
  • D. The client with AIDS has more portals of entry
Correct Answer: A

Rationale:

A nurse enters the hospital room of a client with reduced immunity. What
observation requires further action by the nurse?

  • A. The client is in a private room.
  • B. The client has a vase of fresh flowers on the table
  • C. The client has a dedicated vital signs machine
  • D. There is hand sanitizer by the door
Correct Answer: B

Rationale:

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