The nurse at a summer camp recognizes the signs of heatstroke in an adolescent girl. Her temperature is 40° C (104° F). She is slightly confused but able to drink water
Nursing care while waiting for transport to the hospital should include what intervention?
a. Administer antipyretics.
b. Administer salt tablets.
c. Apply towels wet with cool water.
d. Sponge with solution of rubbing alcohol and water.
ANS: C
Heatstroke is a failure of normal thermoregulatory mechanisms. The onset is rapid with initial symptoms of headache, weakness, and disorientation. Immediate care is relocation to a cool environment, removal of clothing, and applying of cool water (wet towels or immersion). Antipyretics are not used because they are metabolized by the liver, which is already not functioning. Salt tablets are not indicated and may be harmful by increasing dehydration. Rubbing alcohol is not used.
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