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NEW QUESTION: 1
You are caring for a patient who was brought into the emergency department unresponsive, hypotensive
and tachypneic. Upon further assessment, you realize that the patient's temperature is 106 degrees
Fahrenheit. You suspect heat stroke. What would your priority nursing intervention be?
A. Obtain a history from the patient.
B. Take oral temperature to monitor effectiveness of treatment.
C. Take off the patient's clothing, wrap him or her in wet towels and place a fan on the patient.
D. Call the family for consent to treat.
The nurse's priority would be to undress and wrap the patient in wet towels and place a fan
on him or her. Interventions must be taken quickly to lower the body temperature because heat stroke is
life threatening. Core body temperatures should be monitored for effective treatment.