A patient is transferred to the postanesthesia unit after surgery to repair an abdominal aortic aneurysm. The patient's temperature is 34.6°C
What actions should be taken by the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Plan to keep the patient's temperature low until he is completely awake from anesthesia.
2. Wrap the patient's head in warmed blankets.
3. Rewarm the patient as quickly as possible.
4. Administer warmed IV fluids.
5. Ask respiratory therapy to warm inspired ventilator air.
2,4,5
Rationale 1: Low temperature increases systemic vascular resistance, so the patient should be rewarmed.
Rationale 2: Heat is rapidly lost from the head. Wrapping the head in warm blankets helps to rewarm the patient.
Rationale 3: The patient should be rewarmed slowly, no more than 1 degree per hour.
Rationale 4: Warm IV fluids are used to rewarm the patient.
Rationale 5: Settings on the ventilator can warm inspired air and help to rewarm the patient.
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ANS:
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