Which nursing action is most appropriate when giving a child a sponge bath to decrease fever?
a. Use alcohol in the bath water to lower the child's temperature rapidly.
b. Use cold water to hasten the procedure.
c. Stop the sponge bath immediately if the child starts to shiver.
d. Bathe the child for 45 to 60 minutes.
C
The procedure should be stopped immediately if the child begins to shiver. Shivering will increase the child's temperature. Alcohol is contraindicated because of skin irritation, the risk of neurological depression from the fumes or absorption through the skin, and shivering, which results from rapid cooling. Cold water can lead to rapid cooling. Tepid water should be used for a sponge bath to reduce fever. The procedure should be stopped immediately if the child begins to shiver. Shivering will increase the child's temperature.
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