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An 82-Year-Old Woman Is Admitted to the Emergency Department in a Coma

Question 6

Multiple Choice

An 82-year-old woman is admitted to the emergency department in a coma after a neighbour found her during a summer heat wave in her stifling apartment,which has no air conditioning.Assessment findings include hot,dry skin;temperature 41.2°C;blood pressure 86/52 mm Hg;and pulse 102 beats/min.The nurse initiates care for the patient,with the knowledge that which of the following treatments will be the initial treatment to include?


A) Application of wet sheets and fans
B) Rectal administration of antipyretics
C) Rapid,large-volume fluid resuscitation with lactated Ringer's solution
D) IV administration of lidocaine (Xylocaine) to prevent cardiac dysrhythmias

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