HESI RN Exit Proctored Exam
Select All That Apply
Following a bowel resection, a client's tympanic temperature was 97.6° F (36.4° C) on admission to the postanesthesia care unit (PACU). Thirty minutes later, the temperature is 101.6°F (38.7° C). Which intervention(s) should the nurse implement? Select all that apply.
Explanation & Rationale
A. Ice packs can be used but are not the first priority. B. Rechecking core temperature confirms the severity of hyperthermia. C. Monitoring hourly is insufficient for a rapidly rising temperature. D. Oxygen helps prevent hypoxia from hypermetabolic states. E. Malignant hyperthermia is a medical emergency requiring immediate intervention.
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