ATI Nurs 112 Fundamentals of Nursing Exam

Extract:

Question 1 of 5

The client has been hospitalized after a severe head injury. The nurse recognizes that the client's difficulty in maintaining a normal body temperature when there is no infection present can be the result of which of these?

A. Errors by the nurse assistant in measuring temperature B. Increased vasodilatation of the superficial vessels contributing to excess heat losses C. The client's head injury causing interference with the function of the hypothalamus D. Choosing the wrong time of day to obtain vital signs

Correct Answer: C

Rationale: The correct answer is C. The hypothalamus is responsible for regulating body temperature. A head injury can disrupt the hypothalamus function, leading to difficulty in maintaining normal body temperature. This is known as hypothalamic dysfunction. A: Errors in measuring temperature by the nurse assistant would not directly affect the client's ability to regulate body temperature. B: Increased vasodilatation of superficial vessels would actually help retain heat, not contribute to excess heat loss. D: Choosing the wrong time of day to obtain vital signs would not impact the client's ability to regulate body temperature.

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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ATI Nurs 112 Fundamentals of Nursing Exam | Nurselytic

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