Nokea
The PACU nurse applies warm blankets to a postoperative patient who is shivering and has a body temperature of 96.0°F (35.6°C). What treatment also may be used to treat the patient?
- A. Oxygen
- B. Vasodilating drugs
- C. Antidysrhythmic drugs
- D. Analgesics or sedatives
Correct Answer: A
Rationale: Shivering increases oxygen demand; providing oxygen supports metabolic needs.
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Mandy is a 17-year-old adolescent girl. On physical examination you note partial erosion of her tooth enamel and callus formation on the posterior aspect of the knuckles of her hand. This is indicative of
- A. A connective tissue disorder; she should be referred to dermatology.
- B. Self-induced vomiting; she likely has bulimia nervosa.
- C. Self-mutilation; this correlates with anxiety.
- D. A genetic disorder; her siblings should also be tested.
Correct Answer: B
Rationale: Erosion of tooth enamel and calluses on knuckles are common signs of self-induced vomiting seen in bulimia nervosa.
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
- A. Spinal headache
- B. Hypotension and bradycardia
- C. Loss of consciousness and seizures
- D. Downward extension of nerve block
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.
Symptoms indicative of cervical cancer include:
- A. Irregular vaginal bleeding
- B. Bloating
- C. Weight gain and nausea
- D. Dyspareunia
Correct Answer: A
Rationale: Irregular vaginal bleeding is a hallmark symptom of cervical cancer, often occurring between periods or after intercourse.
Signs of clotting and bleeding concurrently indicate
- A. Hemophilia.
- B. Multiple myeloma.
- C. Disseminated intravascular coagulation.
- D. Polycythemia vera.
Correct Answer: C
Rationale: DIC involves both clotting and bleeding due to widespread activation of the coagulation system.
When a client develops an airway obstruction from a foreign body but remains conscious, which of the following actions should the nurse take first?
- A. Insert an oral airway
- B. Administer the abdominal thrust maneuver
- C. Turn the client to the side
- D. Perform a blind finger sweep
Correct Answer: B
Rationale: The correct action is to administer the abdominal thrust maneuver (Heimlich maneuver) first to attempt to dislodge the foreign body. This is the priority intervention when a conscious client is experiencing airway obstruction. Inserting an oral airway (Choice A) may worsen the obstruction. Turning the client to the side (Choice C) does not directly address the airway obstruction. Performing a blind finger sweep (Choice D) is not recommended as it can push the object further down the airway. Administering the abdominal thrust maneuver is the most effective and safest initial intervention to clear the airway obstruction.