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1. Question
When using a hypothermia blanket for a febrile client, which findings should lead the nurse to suspect hypothermia? SELECT ALL THAT APPLY.
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Answer & Rationale:
ANSWER: 2, 3, 4
When using a hypothermia blanket to reduce temperature, a nurse should monitor the client for signs of hypothermia, which include a decreased heart rate, decreased blood pressure, and drowsiness. The low cardiac output from the decreased BP and HR affect the central nervous system producing drowsiness. Urine output is decreased in a hypothermic client as a result of decreased perfusion.
Incorrect
Answer & Rationale:
ANSWER: 2, 3, 4
When using a hypothermia blanket to reduce temperature, a nurse should monitor the client for signs of hypothermia, which include a decreased heart rate, decreased blood pressure, and drowsiness. The low cardiac output from the decreased BP and HR affect the central nervous system producing drowsiness. Urine output is decreased in a hypothermic client as a result of decreased perfusion.
BLOOD WARMERS
Blood warmers may be used to prevent hypothermia and adverse reactions when several units of blood are being administered. Special warmers have been designed for this purpose, and only devices specifically approved for this use can be used.