after surgery your patient starts to shiver uncontrollably what nursing intervention would you do first

ATI RN

ATI Community Health Nursing Ch 7

1. After surgery, your patient starts to shiver uncontrollably. What nursing intervention would you do first?

A. Apply warm blankets & continue oxygen as prescribed
B. Take the patient's rectal temperature
C. Page the doctor for further orders
D. Adjust the thermostat in the room

Correct answer: A

Rationale: When a patient starts shivering uncontrollably after surgery, the priority nursing intervention is to apply warm blankets and continue oxygen as prescribed. Shivering can be a sign of hypothermia, and maintaining the patient's body temperature is crucial for their recovery. This intervention helps prevent further heat loss and supports the patient's comfort and safety. While monitoring temperature, paging the doctor, and adjusting the room temperature may be necessary, addressing the immediate need for warmth and oxygen is the priority in this situation.

2. A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

A. Acute care hospital nursing
B. Community-based nursing
C. Community health nursing
D. Public health nursing

Correct answer: B

Rationale: The nurse is providing care to a patient at home, which falls under the realm of community-based nursing. Community-based nursing involves providing healthcare services outside of traditional healthcare facilities, such as in patients' homes or community settings, to promote health and wellness and prevent hospital readmissions.

3. When studying for an epidemiology quiz, what does public health nursing surveillance involve?

A. Having all carriers transferred to one main facility for care
B. Gathering data to work toward primary illness prevention
C. Establishing the incubation period of a disease
D. Determining the colonization rate of the disease

Correct answer: B

Rationale: Public health nursing surveillance involves the systematic collection, analysis, and interpretation of health-related data for the purpose of preventing and controlling diseases. By gathering data, public health nurses can identify trends, risks, and patterns to implement interventions aimed at preventing illnesses in communities. This process is essential for early detection, timely response, and effective prevention strategies.

4. How do social determinants impact health?

A. They directly affect health behaviors and outcomes.
B. They primarily influence genetic predisposition.
C. They have minimal impact on overall health.
D. They determine access to health resources.

Correct answer: A

Rationale: Social determinants play a significant role in impacting health by directly influencing health behaviors and outcomes. These determinants include factors such as socioeconomic status, education, neighborhood, and access to healthcare, which shape the conditions in which individuals live, work, and age, ultimately affecting their health status.

5. What is the FIRST STEP for thermal protection of a newborn?

A. Drying the baby thoroughly immediately after birth
B. Covering the baby with a clean, dry cloth after the cord has been cut
C. Drying the baby thoroughly after the cord has been cut
D. Covering the baby with a clean, dry cloth immediately after birth

Correct answer: A

Rationale: The first step in thermal protection of a newborn is to dry the baby thoroughly immediately after birth. This helps prevent heat loss and maintain the newborn's body temperature, which is crucial for their well-being. By drying the baby promptly, you can reduce the risk of hypothermia and provide a comfortable environment for the newborn.