A nurse is assessing a client's body temperature and notices shivering and goosebumps. What action should the nurse take?

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RN Vital Signs Assessment ATI Questions

Question 1 of 4

A nurse is assessing a client's body temperature and notices shivering and goosebumps. What action should the nurse take?

Correct Answer: A

Rationale: Shivering and goosebumps indicate the body is raising its temperature, likely due to cold. Warm blankets prevent heat loss and enhance comfort. Antipyretics treat fever, not applicable here. Cool compresses worsen heat loss. Notifying the provider is unnecessary for a normal response. Choice A is correct, per the explanation, reflecting nursing's role in supporting thermoregulation during hypothermia or chills.

Question 2 of 4

The arterial blood gases for a patient in shock demonstrate increased carbon dioxide and decreased oxygen. What type of respirations would the nurse expect to assess based on these findings?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 4

A patient in a physicians office has a single blood pressure (BP) reading of 150/92. Should the patient be taught about hypertension?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 4

A nurse performing physical assessments of residents in a long-term care facility describes to the student nurse common head and neck variations in the older adult. Which of the following accurately defines these variations? Select all that apply.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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