An Unresponsive 78-Year-Old Is Admitted to the Emergency Department

question 18

Multiple Choice

An unresponsive 78-year-old is admitted to the emergency department ( ED ) during a summer heat wave. The patient's core temperature is 106.2° F ( 41.2° C ) , blood pressure ( BP ) 86/52, and pulse 102. The nurse initially will plan to

• A) administer an aspirin rectal suppository.
• B) start O₂ at 6 L/min with a nasal cannula.
• C) apply wet sheets and a fan to the patient.
• D) infuse lactated Ringer's solution at 1000 mL/hr.

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Definitions:

Proximal Convoluted Tubule

Part of the nephron that extends from the glomerulus to the descending limb of the loop of Henle.

Collecting Duct

Straight tubule that extends from the cortex of the kidney to the tip of the renal pyramid. Filtrate from the distal convoluted tubes enters the collecting duct and is carried to the calyces.

Excretory Organ

Organs involved in the removal of waste products and excess substances from the body, including kidneys, liver, lungs, and skin.

Glomerular Endothelium

The inner lining of the glomerulus in the kidney, involved in the filtration of blood to form urine.