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. Which is an example of a secondary prevention strategy?

A. Administering immunizations to prevent disease
B. Conducting health screenings to detect early signs of disease
C. Providing rehabilitation services to prevent complications
D. Educating the public about healthy lifestyle choices

Correct answer: B

Rationale: Conducting health screenings to detect early signs of disease is an example of secondary prevention. This strategy focuses on early detection and intervention to prevent the progression of a disease or health issue. By identifying potential health problems at an early stage, individuals can receive timely treatment and management, thereby reducing the risk of complications and improving health outcomes.

3. While using technique of motivational interviewing with a college student engaged in binge drinking several times per week, the public health RN should begin with which intervention:

A. Discussing how the student is managing his overall academic studies since drinking has become a problem
B. Explaining to the student the full range of harmful impacts binge drinking has on the body and mind
C. Asking open-ended questions and actively listening to the student while trying to remove any judgement
D. Asking the student to make a validated survey that reveals attitudes and knowledge about binge drinking

Correct answer: C

Rationale: Asking open-ended questions and actively listening without judgement is a key technique in motivational interviewing.

4. Which best describes an example of an environmental health intervention?

A. Providing clean drinking water
B. Administering medications
C. Conducting health education sessions
D. Developing health policies

Correct answer: A

Rationale: Providing clean drinking water is a crucial environmental health intervention as it helps prevent waterborne diseases and promotes overall health. Access to clean drinking water is essential for maintaining public health, especially in preventing illnesses caused by contaminated water sources. Administering medications, conducting health education sessions, and developing health policies are important interventions but are not directly related to environmental health like providing clean drinking water.

5. Which best describes a primary role of nurses in promoting community health?

A. Conducting individual health assessments
B. Advocating for health policy changes
C. Providing health education to groups
D. Developing health policies

Correct answer: B

Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.