Asked by Jenny Blount on Jul 04, 2024
Verified
Which nursing interventions are appropriate for a 38-year-old patient admitted with a diagnosis of Dehydration who has a temperature of 101.5°F (38.6°C) ? Select all that apply.
A) Provide oral and/or IV fluids.
B) Take vital signs every 2 hours.
C) Contact the provider for respirations of 18 breaths/min.
D) Keep the patient on a "nothing by mouth" (NPO) diet until defervescence occurs.
E) Apply a cooling blanket every 2 hours.
Dehydration
A condition caused by the excessive loss of body fluids, leading to impaired bodily functions.
Cooling Blanket
A device used in medical settings to reduce a patient’s body temperature.
IV Fluids
Intravenous fluids are liquids given to patients through veins to provide hydration, electrolytes, or medications directly into the bloodstream.
- Identify the appropriate treatments for patients with deviations in temperature, pulse, and breathing rates.
- Evaluate the impact of drugs on critical indicators and determine the requisite subsequent steps.
Verified Answer
II
Iyiola IsholaJul 06, 2024
Final Answer :
A,B
Explanation :
An elevated temperature can be expected in a patient with dehydration.A temperature of 101.5°F (38.6°C)in a 38-year-old adult will require fluids to replace those lost through diaphoresis and monitoring of vital signs at least every 2 hours.The frequency of VS may increase if the patient's temperature continues to increase.An increase in respirations is expected with an elevated temperature (respiratory rate increases by up to four breaths/min for every 1°F [0.6°C] increase in temperature).The nurse should encourage the patient to eat a balanced and healthy diet,not withhold foods.A cooling blanket is not indicated for a temperature of 101.5°F.
Learning Objectives
- Identify the appropriate treatments for patients with deviations in temperature, pulse, and breathing rates.
- Evaluate the impact of drugs on critical indicators and determine the requisite subsequent steps.
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