A client is admitted to the emergency department with a body temperature of 103°F. It is a hot and humid day, and the client works outside in the sun. Which actions by the nurse are appropriate when providing care to this client? Select all that apply.
A)Use warm blankets.
B)Restrict fluids.
C)Apply cool washcloths to the face and neck.
D)Assess vital signs.
E)Remove or loosen clothing around the neck and chest.

Question

Quizplus · Accepted Answer

A)Until the client has orders written, the nurse can apply cool washcloths to the client's face and neck to increase comfort and reduce the client's body temperature. The nurse can also reduce clothing and skin covering by loosening clothing around the neck and chest. Warm blankets and fluid restriction would keep the temperature elevated rather than helping to decrease it. Assessing vital signs is important; however, the nurse needs to intervene to help bring the body temperature down.
B)Until the client has orders written, the nurse can apply cool washcloths to the client's face and neck to increase comfort and reduce the client's body temperature. The nurse can also reduce clothing and skin covering by loosening clothing around the neck and chest. Warm blankets and fluid restriction would keep the temperature elevated rather than helping to decrease it. Assessing vital signs is important; however, the nurse needs to intervene to help bring the body temperature down.
C)Until the client has orders written, the nurse can apply cool washcloths to the client's face and neck to increase comfort and reduce the client's body temperature. The nurse can also reduce clothing and skin covering by loosening clothing around the neck and chest. Warm blankets and fluid restriction would keep the temperature elevated rather than helping to decrease it. Assessing vital signs is important; however, the nurse needs to intervene to help bring the body temperature down.
D)Until the client has orders written, the nurse can apply cool washcloths to the client's face and neck to increase comfort and reduce the client's body temperature. The nurse can also reduce clothing and skin covering by loosening clothing around the neck and chest. Warm blankets and fluid restriction would keep the temperature elevated rather than helping to decrease it. Assessing vital signs is important; however, the nurse needs to intervene to help bring the body temperature down.
E)Until the client has orders written, the nurse can apply cool washcloths to the client's face and neck to increase comfort and reduce the client's body temperature. The nurse can also reduce clothing and skin covering by loosening clothing around the neck and chest. Warm blankets and fluid restriction would keep the temperature elevated rather than helping to decrease it. Assessing vital signs is important; however, the nurse needs to intervene to help bring the body temperature down.

A Client Is Admitted to the Emergency Department with a Body