A 6-year-old is admitted to the ED after being rescued from a pond after falling through the ice while ice skating. What action should the nurse perform while rewarming the patient?
A) Assessing the patient's oral temperature frequently
B) Ensuring continuous ECG monitoring
C) Massaging the patient's skin surfaces to promote circulation
D) Administering bronchodilators by nebulizer
Ans: B
Feedback:
A hypothermic patient requires continuous ECG monitoring and assessment of core temperatures with an esophageal probe, bladder, or rectal thermometer. Massage is not performed and bronchodilators would normally be insufficient to meet the patient's respiratory needs.
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