Practice Question
A nurse in an emergency department is caring for a client who has heat stroke. Which of the following actions should the nurse take? (Select all that apply.)
Answer Choices:
Correct Answer:
Infuse IV fluids.
Rationale:
Infuse IV fluids
💧Heat stroke often causes severe dehydration and electrolyte imbalance due to profuse sweating and fluid shifts.
💧IV fluids restore intravascular volume, support tissue perfusion, and help prevent hypotension and shock.
💧Isotonic solutions such as normal saline are typically used for rapid replacement.
💧Fluid therapy also assists in stabilizing cardiovascular function during cooling interventions.
💧Monitoring urine output helps evaluate renal perfusion and fluid balance.
Place the client on oxygen using a mask
💧Heat stroke leads to tissue hypoxia as hyperthermia increases metabolic oxygen demand.
💧Administering supplemental oxygen ensures adequate oxygen delivery to vital organs.
💧Oxygen therapy helps prevent neurologic injury, myocardial ischemia, and multi-organ dysfunction.
💧Pulse oximetry and ABGs guide effectiveness of oxygen support.
💧Early oxygenation is a life-saving measure in heat emergencies.
Stop cooling interventions once core temperature is 39°C (102°F)
💧Aggressive cooling is vital but must be stopped at 39°C (102°F) to prevent rebound hypothermia and shivering.
💧Overcooling can worsen the clinical state and lead to complications such as arrhythmias and coagulopathy.
💧Controlled cooling methods include ice packs, cooling blankets, and cold IV fluids.
💧Continuous temperature monitoring ensures safe and effective treatment.
💧This practice balances rapid temperature reduction with physiologic stability.
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This question is from RN Comprehensive Predictor 2023 (August 2025) which contains 179 questions.
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From Exam
RN Comprehensive Predictor 2023 (August 2025)
179 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI EXIT Exam(s)
- Domain: RN ATI Comprehensive Predictor Exam(s)~2025
- Answer Choices: 6