A diabetic client survives a fire and presents with tachycardia and ashen-colored skin. Which primary interventions should the nurse perform?

Administering cool intravenous fluids is a primary intervention in this scenario due to the client's condition following a fire, where risk of hyperthermia increases and the body may experience heat stress or burn-related complications. Cool fluids help to regulate the body's temperature, potentially preventing further damage from the heat and aiding in medical stabilization.

In the context of a fire, the trauma not only involves thermal injuries but also raises the likelihood of dehydration and compromised circulation. By administering cool intravenous fluids, the nurse aims to support hydration, maintain blood volume, and manage temperature effectively. This is particularly valuable since the client may also be experiencing stress responses such as tachycardia, which can be exacerbated by elevated body temperature.

In contrast, warm intravenous fluids or placing the client in a warm environment could lead to overheating, worsening the client’s condition. While managing pain control is essential in overall care, it is not the immediate priority compared to addressing potential complications from exposure to extreme heat.