ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a rectal temperature of 35°C (95°F). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D. A rectal temperature of 35°C (95°F) indicates hypothermia. The nurse should place a warming blanket over the client to help raise their body temperature back to a normal range (around 37°C or 98.6°F). This action will help prevent further complications associated with hypothermia.
A: Decreasing the temperature in the room would further decrease the client's body temperature, worsening the hypothermia.
B: Requesting an antipyretic medication is used to reduce fever, not to raise body temperature in hypothermia.
C: Placing a cooling fan near the client would further lower their body temperature, which is not appropriate for hypothermia.
Therefore, D is the correct choice to address the client's hypothermia effectively.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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