Exam 33: Disorders of Thermoregulation

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The nurse in the intensive care unit is caring for a patient whose body temperature has been cooled to decrease the oxygen requirement of the brain and heart. The nurse explains to the family that this treatment is called:

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D

Which findings should the nurse expect in patient with second-degree frostbite in the fingers?

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B

Which of the following problems would be a priority in the nursing care plan for a patient with hypohidrotic ectodermal dysplasia?

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C

A patient who was found in the snow with impaired consciousness, no shivering, and a body temperature of 33°C is being transported by life flight helicopter to a hospital with rewarming resources. Which interventions should the life flight nurse anticipate?

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When assessing a patient with a 40oC core body temperature, which manifestations cause the nurse to determine that the patient has heat stroke?

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The nurse should expect to assess which manifestations in a patient with profound hypothermia?

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The nurse is teaching a community health program on the danger of extremes of hot and cold temperatures. Which statement by a participant indicates to the nurse that more teaching is needed?

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The nurse in the newborn intensive care unit is caring for a low birth-weight newborn, born at 36-weeks' gestation, who was delivered in a car en route to the hospital in a snowstorm. Which statement by a parent of the newborn indicates a lack of understanding of the risks of hypothermia?

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A patient who is unconscious, not shivering, and has a core body temperature of 25oC is classified as which stage of the Swiss Hypothermia Staging System?

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After removing the wet clothing from a patient who fell through the ice into cold water, the nurse wraps the patient in warm blankets to prevent heat loss by which means?

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A patient who was found in the snow with impaired consciousness, no shivering, and a body temperature of 28°C is being transported by life flight helicopter to a hospital with rewarming resources. The patient warms to 30°C en route to the hospital, and the nurse cautions the team to move the patient gently, explaining that at this body temperature:

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When caring for a patient with mild hypothermia, which finding would the nurse expect?

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When a patient with a febrile illness begins to shiver, the nurse understands that which of the following has occurred?

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A patient in the emergency department fell through the ice on a pond and was rescued by friends and driven to the hospital, still in wet clothes. By removing the wet clothes, the nurse is preventing:

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A patient asks the surgical nurse why the anesthesiologist asked if a member of his family ever had hyperthermia during surgery. The nurse responds that malignant hyperthermia is a life-threatening crisis that:

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The nurse should expect which manifestations in a patient in the chill phase of fever?

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When assessing the electrocardiogram of a hypothermic patient, which finding signals that the patient has become moderately hypothermic?

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In a community program, the community health nurse warns that alcohol increases the risk of hypothermia due to:

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Which concept should the nurse use to develop a community program teaching older adults about the hazards of cold winter temperatures?

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Through which mechanism is the newborn able to generate heat in a cool delivery room?

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