The nurse is caring for an organ donor patient who has been diagnosed as brain dead
What will the nurse do to ensure stability of the patient's body temperature? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Set the room temperature to 90 degrees Fahrenheit.
2. Administer warm intravenous fluids.
3. Apply warming blankets to the patient.
4. Hyperventilate the patient to decrease arterial carbon dioxide level.
5. Suction frequently.
1,2,3
Rationale 1: Following brain death dysfunction of the hypothalamus often occurs. The donor becomes poikilothermic, which means that his body temperature fluctuates with the temperature of the environment. The nurse might adjust the room temperature to about 90 degrees Fahrenheit.
Rationale 2: The administration of warm intravenous fluids will help keep the patient's body temperature near normal.
Rationale 3: The use of warming blankets will help maintain a body temperature of about 98 degrees Fahrenheit.
Rationale 4: Hyperventilation helps correct any electrolyte imbalances and not maintain body temperature.
Rationale 5: Frequent suctioning helps maintain adequate oxygenation and not maintain body temperature.
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