Which action is appropriate while assessing the body temperature in a client who is suspected of having hypothermia? (2024)

Which action is appropriate while assessing the body temperature in a client who is suspected of having hypothermia quizlet?

The first thing to do with a patient suspected to be hypothermic is to remove wet clothes, because heat loss is five times greater when clothing is wet. Assessing vital signs is important, but the wet clothes should be removed first.

Which action would the nurse take first when caring for a client with hypothermia?

Which action would be the nurse's priority of care for a client with hypothermia? Hypothermia is associated with a decrease in core body temperature, which requires interventions that lead to an increase in the client's internal body temperature. The client should be first removed from the cold environment.

Which nursing intervention would benefit a client with hyperthermia?

Antipyretics, evaporative cooling, ice packs, and cooled intravenous (IV) fluids can be used to reduce hyperthermia.

Which would the nurse's immediate interventions be for the client with moderate hypothermia?

CORRECT: During moderate hypothermia, core rewarming methods (e.g., warm IV fluids, heated oxygen, heated gastric lavage) should be initiated prior to external rewarming methods (e.g., heating blankets, warm packs) to prevent “after-drop”.

Which of the following method is the most appropriate to measure temperature of a patient who underwent oral surgery?

Rationale: The correct answer is c (tympanic temperature). Taking oral temperature is avoided after oral surgery, and taking rectal temperature is avoided in the adult population. Thus, the best method is to measure tympanic temperature.

What is the most accurate method to assess the temperature of someone with a hyperthermia?

Hyperthermia is confirmed through accurate core body temperature measurement. Core body temperature is most easily measured orally, rectally, or via tympanic membrane measurements.

What do you do first before taking the temperature of the patient?

What is the first thing you should do for hypothermic person?

What is the best thing to do for someone suspected of having hypothermia?

Try to prevent body cooling and get the victim to a medical facility immediately. Gently move the victim to a warm shelter. Check for breathing and a heartbeat. Start CPR if necessary.

What are the 4 steps to providing first aid for hypothermia?

What are some nursing interventions for hypothermia?

Which nursing action will treat hypothermia in a patient?

For treatment of moderate to severe hypothermia, oxygen may be heated up to 111.2°F (44°C). Gastric lavage with warm fluids is another intervention that can be used to treat moderate to severe hypothermia. A nasogastric tube is used to give warm fluids to the patient, warming their internal organs.

What are nursing interventions for an increased temperature?

Nursing Interventions:

-The nurse will administer ordered antipyretics to the patient for a temperature greater than 100.4 per md order. -The nurse will encourage and offer oral fluid intake every two hours to the patient.

What would be the best way to do if you suspect that someone has hypothermia and emergency help is not available right away?

If you suspect that someone has hypothermia and emergency help is not available right away, move the person to a warmer location, if possible, and wrap them in a warm blanket to stop further heat loss.

What is the best nursing intervention for elevation of temperature?

What is the most accurate method to measure body temperature Why?

Rectal temperatures are considered most accurate indication of the body's temperature. Oral and axillary temperature readings are about ½° to 1°F (. 3°C to . 6°C) below rectal.

What is the most accurate way to collect a patient's temperature?

Place the thermometer in the axilla (armpit). Place the forearm across the chest and ensure the upper arm is resting against the patient's side. Leave the thermometer in place for 5 minutes. This will ensure that the reading will be accurate.

Which of the following methods of measuring a patient's body temperature is the most accurate?

This method requires a special thermometer, which is placed on the forehead. Taking a temperature rectally requires careful consideration and is not used in the hospital too often. However, It is said to be one of the more accurate measurements of the body's true temperature.

What are 2 ways to lower a person's body temperature if they are suspected to have heat exhaustion?

If possible, take a cool shower, soak in a cool bath, or put towels soaked in cool water on your skin. If you're outdoors and not near shelter, soaking in a cool pond or stream can help bring your temperature down.

What is the only accurate way to measure the core temperature of an individual with suspected heatstroke?

A rectal temperature is the most accurate way of determining your core body temperature and is more accurate than mouth or forehead temperatures. A blood test to check blood sodium or potassium and the content of gases in your blood to see if there's been damage to your central nervous system.

What is the best way to take someone's temperature?

What should you do before during and after hyperthermia?

Take frequent breaks. Drink plenty of water. Wear cool clothing. Find a cool shady place to rest.

What are the methods can use to reduce fever of a client?

Over-the-counter medications

In the case of a high fever or a fever that causes discomfort, your care provider may recommend nonprescription medication, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others).

What is the safety protocol before hyperthermia?

Take a tepid bath or shower. Use cold wet towels or dampen clothing with tepid water when the heat is extreme. Avoid hot, heavy meals. Avoid alcohol. Determine if the person is taking any medications that increase hyperthermia risk; if so, consult with the patient's physician.

What is hypothermia protocol?

Once the heart starts beating again, healthcare providers use cooling devices to lower your body temperature for a short time. It's lowered to around 89°F to 93°F (32°C to 34°C). The treatment usually lasts about 24 hours. The heart has an electrical signal that helps coordinate the heartbeat.

Do you do CPR on a hypothermic patient?

Conclusions: Continuous CPR is recommended for CA due to primary severe hypothermia. Mechanical chest-compression devices should be used when available and CPR-interruptions avoided. Only if this is not possible should CPR be delayed or performed intermittently.

What else can you do to lower your body temperature when you are sick Aside from taking medicines?

Which of the following is a proper way to treat hypothermia quizlet?

Hypothermia is often caused by cold, wet conditions. To help prevent hypothermia, dress properly, avoid potentially dangerous weather conditions, and dry out as quickly as possible when you get wet. To treat the victim, find shelter, remove wet clothing, give warm liquids, and rewarm the person.

What should you not do before during and after hypothermia?

Wear warm, multi-layered clothing with good hand and feet protection (avoid overly constricting wrist bands, socks, and shoes). Wear warm headgear. This is particularly important since significant heat is lost through an unprotected head. If possible, change into dry clothes whenever clothing becomes wet.

Do you give warm IV fluids for hypothermia?

If the temperature of these fluids is below core body temperature, they can cause significant heat loss. Warming intravenous and irrigation fluids to core body temperature or above might prevent some of this heat loss and subsequent hypothermia.

What is the most effective way to cool a patient with hyperthermia?

The definitive treatment for heat-related illness is total body cooling. Conduction and evaporation are the two modes of cooling employed in the treatment of heat-related illnesses. Studies have shown ice-water immersion to be the most rapidly effective.

What do you do when a patient has a high temperature?

Treating a high temperature

get lots of rest. drink plenty of fluids (water is best) to avoid dehydration – drink enough so your pee is light yellow and clear. take paracetamol or ibuprofen if you feel uncomfortable.

What is an appropriate nursing intervention?

Providing physical treatments, emotional support, and patient education are all examples of nursing interventions. Nurses typically perform these actions as part of a nursing care plan to monitor and improve their patient's comfort and health.

What is the first thing you should do for hypothermia person?

What are three things you should do for someone with hypothermia?

Cover the person completely with foil or a space blanket, or use your own body heat to help warm him/her. Use warm compresses on the neck, chest, and groin. Give warm, sweet fluids. (Any fluids given should be nonalcoholic, as alcohol interferes with the blood's circulation.)

What should you do if you suspect a worker is hypothermic?

What is the nursing care plan for hypothermia?

Give extra covering (passive warming), such as clothing and blankets; cover postoperative patients with heat-retaining blankets. Warm blankets provide a passive method for rewarming. Give heated oral fluids for alert patients. Warm fluids produce a heat source.

What nursing measures you should give her to reduce body temperature?

Promote Body Heat Lost:

Dress the person with lightweight clothing. Keep the person cool by providing a fan or nurse him in air-conditioner room. Sponge the person with tepid water. Take a cool bath if necessary.

Which of the following nursing interventions is appropriate for a client with hypothermia?

Hypothermia can initially be treated by removing the patient from the cold environment and by replacing any wet clothing with warm clothing or heated blankets. Other interventions to correct hypothermia include administration of warm IV solutions, heated supplemental oxygen, and warm gastric lavage.

How do you assess hypothermia?

Which of the following methods is safe to use when warming a person who has hypothermia?

Warm the person by wrapping them in blankets or putting dry clothing on the person. Do not immerse the person in warm water. Rapid warming can cause heart arrhythmia. If using hot water bottles or chemical hot packs, wrap them in cloth; don't apply them directly to the skin.

How do you check for hyperthermia?

How quickly should you warm a hypothermic patient?

The recommended rate of rewarming varies between 0.5 and 2°C/hour.

How do you know if someone has hypothermia?

What is the first thing one should do with someone suffering from suspected heat illness?

Seek emergency medical care

If you suspect heatstroke, call 911 or your local emergency number. Then move the person out of the heat right away. Cool the person by whatever means available.