Difficulty: Medium
Average Score: 65%
Simulated
The nurse writes the nursing diagnosis 'altered body temperature related to damaged temperature regulating mechanism' for a client with a head injury. Which would be the most appropriate goal?
Correct answer
B
Rationale
The goal for altered body temperature is to maintain a normal range, such as less than 100┬░F (B). Administering medication (A) is an intervention, hypothermia blanket (C) is specific, and basal fluctuation (D) is vague.