A patient is brought to the emergency department by the paramedics. The patient is in cardiac arrest. The patient is revived and placed in a state of mild hypothermia before being transferred to the cardiac intensive care unit
The nurse caring for this patient knows to monitor this patient for what? (Mark all that apply.)
A) Acute cardiac syndrome
B) Neuromuscular paralysis
C) Myoclonus
D) Shivering
E) Excited sinus rhythm
Ans: B, C, D
Feedback: The nurse caring for a patient with hypothermia (passive or induced) needs to monitor for appropriate level of cooling, sedation, and neuromuscular paralysis to prevent seizures; myoclonus; and shivering. Just because a patient is hypothermic does not mean you monitor him for acute cardiac syndrome. Excited sinus rhythm is a distracter for this question.
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