A student nurse is assisting with the care of a 50

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10.A student nurse is assisting with the care of a 50-year-old man who is being treated in theemergency department for hypothermia. The student asks the charge nurse why the patient ishaving his heart monitored. How should the nurse best respond?a.Infusing intravenous (IV) fluids rapidly raise blood pressure (BP) and heart rate.b.Adrenal output of epinephrine increases in response to cold stress.c.Lactic acid from pooled blood in the extremities shunts back to the heart.d.The warming process causes vasodilation.ANS: CLactic acid in the blood that was pooled in the extremities while being exposed to cold willshunt back to the heart through systemic perfusion as the warming process becomes effective.The lactic acid can cause arrhythmias.
PTS:1DIF:Cognitive Level: ApplicationREF:1035OBJ:3 (theory)TOP:Hypothermia: ArrhythmiasKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological Integrity: Reduction of Risk Potential11.The nurse is caring for a patient with frostbite. Which assessment findings would lead thenurse to conclude that the patient has second-degree frostbite?
PTS:1DIF:Cognitive Level: ApplicationREF:1035OBJ:3 (theory)TOP:Frostbite: StagingKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity: Basic Care and Comfort
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Chapter 20 / Exercise 8
Nutrition for Health and Health Care
DeBruyne/Pinna
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12.The emergency department nurse is attempting to revive an unconscious, shivering personwith extreme hypothermia (rectal temperature of 94° F). The nurse should be most alarmedwith which change?
PTS:1DIF:Cognitive Level: AnalysisREF:1035OBJ:3 (theory)TOP:Hypothermia: AssessmentKEY:Nursing Process Step: AssessmentMSC:NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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Term
Fall
Professor
Nancy Becker
We have textbook solutions for you!
The document you are viewing contains questions related to this textbook.
Nutrition for Health and Health Care
The document you are viewing contains questions related to this textbook.
Chapter 20 / Exercise 8
Nutrition for Health and Health Care
DeBruyne/Pinna
Expert Verified

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