The clinical nurse specialist is caring for a ten-day-old preterm infant at the NICU. During the assessment, the nurse determines that the patient is experiencing hypothermia. The nurse would:
  1. Rapidly warm the patient during the next hour until the temperature is stabilized
  2. Assess the patient for signs and symptoms of hyperglycemia and begin temperature stabilization
  3. Gradually warm the patient during the next several hours and monitor frequently
  4. Record the infant’s skin temperature every hour until the temperature is stable
Explanation
Answer - C - The nurse would gradually warm the patient during the next several hours and monitor frequently. Warming the patient in a gradual manner for a patient experiencing cold stress is important to prevent compromising the patient’s cardiopulmonary status.
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