Your Client Is in the ICU Being Treated for Shock

question 21

Multiple Choice

Your client is in the ICU being treated for shock. The client's condition worsens as they become hypothermic and develop respiratory distress. What nursing intervention would help restore the body temperature to normal range?

• A) Warm the humidified air that is mixed with oxygen during mechanical ventilation.
• B) Cool the IV solutions and blood products to be administered to the client.
• C) Administer a tepid sponge bath to the client.
• D) Place the client on a cooling mattress.

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Definitions:

Inability to Ingest Food

A condition where an individual cannot eat or swallow food normally, which may require alternative feeding methods.

Decisional Conflict

The uncertainty about which course of action to take when the options involve risk, loss, or challenge to personal life values.

NANDA-I Handbook

A comprehensive guide that provides standardized nursing diagnoses to assist in the assessment and care planning for patients.

Personal Values

Fundamental beliefs or standards that individuals hold to be important, guiding their behavior and decisions.