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Multiple Choice
In the context of homeostasis, which intervention should a nurse initiate first when a patient presents with signs of hypothermia?
A
Provide the patient with a hot beverage
B
Administer warm intravenous fluids
C
Apply a heating pad directly to the skin
D
Remove wet clothing and cover the patient with warm blankets
Verified step by step guidance
1
Understand the concept of homeostasis: Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. In the case of hypothermia, the body is unable to maintain its normal temperature.
Identify the signs of hypothermia: Hypothermia occurs when the body loses heat faster than it can produce it, leading to a dangerously low body temperature. Symptoms may include shivering, confusion, slurred speech, and slow breathing.
Prioritize interventions based on effectiveness and safety: The first step in treating hypothermia is to prevent further heat loss. Removing wet clothing is crucial because wet clothes can continue to cool the body. Covering the patient with warm blankets helps to insulate and gradually warm the body.
Consider the physiological rationale: Wet clothing increases heat loss through conduction and evaporation. By removing it, you reduce these heat loss mechanisms. Covering the patient with warm blankets provides insulation and helps the body retain heat.
Evaluate other interventions: While providing a hot beverage or administering warm intravenous fluids can help increase body temperature, these are secondary measures. Applying a heating pad directly to the skin can cause burns if not monitored carefully, so it is not the first intervention.