An emergency department nurse plans care for a client who is admitted with heat stroke. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Administer oxygen via mask or nasal cannula.
b. Administer ibuprofen, an antipyretic medication.
c. Apply cooling techniques until core body temperature is less than 101 ° F.
d. Infuse 0.9% sodium chloride via a large-bore intravenous cannula. e.
Obtain baseline serum electrolytes and cardiac enzymes.
ANS: A, D, E
Heat stroke is a medical emergency. Oxygen therapy and intravenous fluids should be provided, and baseline laboratory tests should be performed as quickly as possible. The client should be cooled until core body temperature is reduced to 102 ° F. Antipyretics should not be administered.
You might also like to view...
The nurse is conducting an interview. Which of these statements is true regarding open-ended questions? Select all that apply
a. Open-ended questions elicit cold facts. b. They allow for self-expression. c. Open-ended questions build and enhance rapport. d. They leave interactions neutral. e. Open-ended questions call for short one- to two-word answers. f. They are used when narrative information is needed.
The nurse is caring for an infant with a temporary ileostomy. As part of the nursing plan, the nurse monitors for skin breakdown around the stoma. If redness occurs, how can the nurse promote healing and prevent further skin breakdown?
A) Clean the area well with a scented diaper wipe. B) Apply a barrier/healing cream or paste on skin. C) Use a barrier wafer (such as stomahesive) to attach the appliance. D) Sanitize the area with an alcohol wipe after each diaper change.
Disease management is the monitoring of:
a. chronic illness across the health care con-tinuum. b. mental illness in the outpatient setting. c. surgical illness across the health care con-tinuum. d. terminal illness in the hospice setting.
Mrs. Hill, aged 68, was hospitalized after a stroke. The speech therapist recommended that oral feeding be stopped because of her dysplasia. During visiting hours, Mr. Hill fed his wife some noodles
The nurse noticed this and stopped Mr. Hill from feeding his wife, telling him it was the doctor's decision. An hour later, the nurse returned and found Mr. Hill feeding his wife again. The nurse tried to stop him again. Mr. Hill refused and claimed that the clinical staff was trying to starve his wife; he also threatened to get violent with the nurse. The nurse decided to walk away and documented the event in Mrs. Hill's chart. The outcome as depicted by Thomas' conflict stages can be considered to be: a. Compromising. b. Confronting. c. Constructive. d. Destructive.