Difficulty: Medium
Average Score: 78%
Simulated
A nurse is caring for a client who has a rectal temperature of 35┬░C (95┬░F). Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D. A rectal temperature of 35┬░C (95┬░F) indicates hypothermia. The nurse should place a warming blanket over the client to help raise their body temperature back to a normal range (around 37┬░C or 98.6┬░F). This action will help prevent further complications associated with hypothermia.
A: Decreasing the temperature in the room would further decrease the client's body temperature, worsening the hypothermia.
B: Requesting an antipyretic medication is used to reduce fever, not to raise body temperature in hypothermia.
C: Placing a cooling fan near the client would further lower their body temperature, which is not appropriate for hypothermia.
Therefore, D is the correct choice to address the client's hypothermia effectively.
A: Decreasing the temperature in the room would further decrease the client's body temperature, worsening the hypothermia.
B: Requesting an antipyretic medication is used to reduce fever, not to raise body temperature in hypothermia.
C: Placing a cooling fan near the client would further lower their body temperature, which is not appropriate for hypothermia.
Therefore, D is the correct choice to address the client's hypothermia effectively.