Which finding indicates that the nurse should discontinue active rewarming of a patient admitted with hypothermia?

The patient develops atrial fibrillation.

The core temperature is 94° F (34.4" C).

The BP decreases to 86/42 mm Hg.

The patient begins to shiver

Answer and Explanation

The Correct Answer is B

A. Developing atrial fibrillation can be a complication of hypothermia, but rewarming is still necessary to address the underlying condition.
B. Active rewarming should be discontinued if the patient's core temperature reaches 94°F (34.4°C), as further active rewarming could lead to complications. It's important to transition to passive rewarming methods to allow the patient's temperature to normalize gradually.
C. A decrease in blood pressure may indicate hypovolemia or shock but does not necessarily require discontinuation of rewarming.
D. Shivering is a normal response during rewarming and does not indicate a need to discontinue rewarming efforts unless other complications arise.

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Correct Answer is B

Explanation

A. Reviewing the client's medical record is important for understanding their health status but is not directly related to investigating an injury claim at the workplace.
B. Reviewing the workplace procedures and protocols manual is crucial to understanding the standards and practices relevant to the injury claim.
C. The Occupational Safety and Health Act provides guidelines and regulations for workplace safety but does not provide specific details about individual injury claims.
D. The client's attendance record at health and safety seminars may be informative but is less directly relevant to investigating the injury claim compared to reviewing workplace protocols.

A. Place the client's clothing in a plastic bag. B. Instruct the client to remove their clothing. C. Remain at least 1.8 meters (6 feet) from the client D. Shower and scrub the client's skin

Correct Answer is B

Explanation

A. Placing the client's clothing in a plastic bag may be necessary for preserving evidence but does not address immediate safety concerns.
B. Instructing the client to remove their clothing helps reduce further exposure to the unknown chemical.
C. Maintaining a safe distance from the client is important, but immediate decontamination is a higher priority.
D. Showering and scrubbing the client's skin should be done after removing contaminated clothing to minimize exposure.

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Which finding indicates that the nurse should discontinue active rewarming of a patient admitted with hypothermia?

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