Isoflurane (Forane) was administered as anesthesia for a client who had abdominal surgery. During postanesthesia recovery, the client begins to shiver. What should the nurse do?
Standard Text: Select all that apply.
1. Check the client's temperature.
2. Notify the anesthesiologist immediately.
3. Put warm blankets on the client.
4. Assure the client that shivering is common.
5. Administer prn pain medication.
Correct Answer: 3,4
Rationale 1: It is unlikely that the client's temperature is causing this shivering.
Rationale 2: There is no reason to notify the anesthesiologist with this information.
Rationale 3: Warm blankets may be applied for client comfort.
Rationale 4: Shivering is common after receiving isofurane.
Rationale 5: This shivering does not generally correlate with pain.
Global Rationale: Shivering is common after receiving isofurane and warm blankets may be applied for client comfort. It is unlikely that the client's temperature is causing this shivering. There is no reason to notify the anesthesiologist with this information. This shivering does not generally correlate with pain.
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