Author Question: An emergency department nurse plans care for a client who is admitted with heat stroke. Which ... (Read 145 times)

Melani1276 · **on:** Jun 25, 2018

An emergency department nurse plans care for a client who is admitted with heat stroke. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)

a. Administer oxygen via mask or nasal cannula.
b. Administer ibuprofen, an antipyretic medication.
c. Apply cooling techniques until core body temperature is less than 101 F.
d. Infuse 0.9 sodium chloride via a large-bore intravenous cannula. e.
Obtain baseline serum electrolytes and cardiac enzymes.

Question 2

A nurse is providing health education at a community center. Which instructions should the nurse include in teaching about prevention of lightning injuries during a storm? (Select all that apply.)

a. Seek shelter inside a building or vehicle.
b. Hide under a tall tree.
c. Do not take a bath or shower.
d. Turn off the television.
e. Remove all body piercings.
f.
Put down golf clubs or gardening tools.

LP · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, D, E
Heat stroke is a medical emergency. Oxygen therapy and intravenous fluids should be provided, and baseline laboratory tests should be performed as quickly as possible. The client should be cooled until core body temperature is reduced to 102 F. Antipyretics should not be administered.

Answer to Question 2

ANS: A, C, D, F
When thunder is heard, shelter should be sought in a safe area such as a building or an enclosed vehicle. Electrical equipment such as TVs and stereos should be turned off. Stay away from plumbing, water, and metal objects. Do not stand under an isolated tall tree or a structure such as a flagpole. Body piercings will not increase a person's chances of being struck by lightning.