A victim who was lost while hiking during a heat wave is brought ...

[Shelles]

A victim who was lost while hiking during a heat wave is brought into the emergency department with suspected heat stroke. What actions should the nurse prepare to perform for this client? (Select all that apply.)
 
  1. Restrict fluid intake.
  2. Provide 100 oxygen.
  3. Immerse in an icy bath.
  4. Prepare a cooling blanket.
  5. Apply cold packs to the groin.

Question 2

A victim of a motor vehicle crash is brought to the emergency department for treatment. What manifestations should the nurse recognize as being consistent with neurogenic shock? (Select all that apply.)
 
  1. Slow heart rate
  2. Cool, clammy skin
  3. Low blood pressure
  4. Large volume urine output
  5. Elevated body temperature

[ergserg]

Answer to Question 1

Answer: 2, 4, 5

1. The client is fluid volume depleted and will need an increase in fluids to restore fluid balance.
2. The client should be given 100 oxygen immediately to compensate for the increased metabolic rate.
3. The client is never immersed in icy water (shivering produces more heat).
4. If the temperature has not dropped to 102 F, a cooling blanket is used.
5. If cold packs are available they should be placed on the client's groin.

Answer to Question 2

Answer: 1, 3

1. Bradycardia is a cardiovascular manifestation of neurogenic shock.
2. In neurogenic shock the skin is warm and dry.
3. Hypotension is a cardiovascular manifestation of neurogenic shock.
4. In neurogenic shock the client will have oliguria or anuria.
5. In neurogenic shock the client will have a lower body temperature.