The nurse assesses the client after several dry heat applications and notes decreased skin turgor, complaints of thirst, and damp bed linens. Which should the nurse implement next?
1. Increase frequency of dry heat applications.
2. Restrict fluid restrictions to 1500 ml per day.
3. Collaborate with provider to plan client care.
4. Discontinue dry heat and apply cool compress.
3
3. The nurse concludes that the client is losing fluid and electrolytes from the dry heat therapy, so the nurse collaborates with the provider to present current assessment data for planning medical care and to complete the nurse's care plan evaluation.
1. Decreased skin turgor, thirst, and damp bed linens are consistent with clinical in-dicators of fluid loss from diaphoresis and are undesirable outcomes; the nurse does not increase the heat therapy because more treatments potentially exacerbate the client changes.
2. The client is losing fluid from diaphoresis. The nurse does not restrict fluids be-cause it increases the risk of hypovolemia.
4. The nurse avoids substituting a cool compress because the indicated therapy is dry heat and because the two therapies have opposite purposes and goals of treatment.
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