Following cardiac resuscitation, a patient has been placed in a state of mild hypothermia before being transferred to the cardiac intensive care unit
The nurse's assessment reveals that the patient is experiencing neuromuscular paralysis. How should the nurse best respond?
A) Administer hypertonic IV solution.
B) Administer a bolus of warned normal saline.
C) Reassess the patient in 15 minutes.
D) Document this as an expected assessment finding.
Ans: D
Feedback:
The nurse caring for a patient with hypothermia (passive or induced) needs to monitor for appropriate level of cooling, sedation, and neuromuscular paralysis to prevent seizures; myoclonus; and shivering. Neuromuscular paralysis is an expected finding and does not necessitate further interventions.
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