The patient has persistently elevated intracranial pressure that is refractory to first-tier or conventional therapy. Controlled hypothermia is initiated to help control ICP. During this therapy, the nurse notices that the patient is shivering. What is the best nursing decision?
A) Shivering is an expected effect of this therapy and should be ignored.
B) Administer a neuroparalytic medication to minimize patient discomfort.
C) Reduce the rate of cooling to prevent shivering, and monitor the patient closely.
D) Place a cotton blanket between the patient and the hypothermia blanket.
C
You might also like to view...
What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant?
a. Brachial b. Apical c. Radial d. Femoral
A nurse is caring for a client with an amputated limb. The client tells the nurse that he has a burning sensation in his amputated limb. How should the nurse document this pain?
A) Referred pain B) Phantom pain C) Visceral pain D) Cutaneous pain
The home care nurse is planning a visit to an older patient whose daughter died 6 months ago and the spouse died last month. For which potential health problem should the nurse assess the patient during the visit?
1. Normal grief 2. Complicated grief 3. Anticipatory grief 4. Uncompleted grief
Which of the following findings require immediate nursing interventions related to the assessment of a patient with a traumatic brain injury? (Select all that apply.)
a. Mean arterial pressure 48 mm Hg b. Elevated serum blood alcohol level c. Non-reactive pupils d. Respiratory rate of 10 breaths per minute