Question

which intervention would the nurse implement immediately for the client with moderate hypothermia? select all that apply. one, some, or all responses may be correct.

Answer 1

The nurse would implement several interventions for a patient with moderate hypothermia, including providing a warm environment, insulating the patient, using active warming techniques, closely monitoring vital signs, and preventing shivering.

Step-by-step explanation:

Immediate Interventions for Moderate Hypothermia

When a client is experiencing moderate hypothermia, it is imperative for the nurse to act swiftly to stabilize the patient's body temperature and prevent further decline. In clinical practice, interventions for hypothermia focus on warming the patient while safeguarding them from the complications associated with a low body temperature. It is important to note that controlled hypothermia is sometimes used medically during procedures like open-heart surgery to reduce metabolic rates and protect organs, but in the case of unintentional hypothermia, immediate steps must be taken to raise the body temperature.

For a patient with moderate hypothermia, the nurse would immediately:

• Provide a warm environment to prevent further heat loss.
• Apply blankets and warm clothing to insulate the patient.
• Use active warming techniques, such as warm IV fluids or forced-air warming systems, to promote internal warming.
• Monitor vital signs closely, watching for signs of cardiac distress, as hypothermia can increase the risk of arrhythmias.
• Prevent shivering, which may increase oxygen demand and metabolic rate, potentially leading to further complications.

It's crucial to handle the patient gently and avoid any rough movements, which could trigger cardiac arrhythmias in a hypothermic patient.

Answer 2

A. Provide warm blankets

B. Provide warm fluids

C. Increase the room temperature

D. Remove wet clothing