Difficulty: Medium
Average Score: 67%
Simulated
The ED nurse has admitted a client who is homeless and was found unresponsive in the street during below freezing temperatures. The client is diagnosed with severe hypothermia. The nurse should implement which measures for this client? Select all that apply.
Correct answer
A,C,D,F
Rationale
Heating blanket (A), assessing consciousness (C), supine position (D), and preparing for CPR (F) are appropriate for severe hypothermia. Oral temperature (B) is inaccurate, and vigorous massage (E) risks tissue damage.