The nurse witnesses a 19-year-old collapse while playing soccer. The individual is arousable but confused and irritable. The skin is warm, dry, and flushed. Which actions are most helpful? Select all that apply.

Pour ice over the individual, Move the individual to a shaded area , Instruct a bystander to call emergency services , Remove the individual’s jersey, shoes, and socks. The priority is to cool the individual down as fast as possible and get the patient to the hospital. The nurse instructs a bystander to contact EMS, moves the individual to a shaded area, removes the jersey, shoes, and socks, and pours ice over the individual. Covering the face with a towel impairs evaporative and convective cooling and should not occur. It is not necessary to elevate the patient’s legs; this takes time away from cooling measures.

The nurse witnesses a 19-year-old collapse while playin...

NCLEX Practice
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Physiological Adaptation
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Category: Physiological Adaptation
Difficulty: 10

Topics: Cardiovascular Delegation, Prioritization and Leadership Intracranial Regulation

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