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Author Question: A nurse in the intensive care unit monitors an older adult admitted with hypothermia. Which of the ... (Read 57 times)

jho37

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on: Jul 11, 2018
A nurse in the intensive care unit monitors an older adult admitted with hypothermia. Which of the following assessment findings indicates the need to notify the primary health care provider immediately?
 
  A) Shivering
  B) Slurred speech
  C) Temperature of 95.5F (35.3C)
  D) Urine output of 25 mL per hour

Question 2

A nurse in the emergency department cares for an 82-year-old man. The man was found wandering the streets looking for his dog in a snowstorm. Which of the following conditions is the highest priority for the nurse to monitor?
 
  A) Altered mental status
  B) Fluid volume overload
  C) Hyperglycemia
  D) Urinary tract infection


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ebenov

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Reply #1 on: Jul 11, 2018
Answer to Question 1

Ans: D
Early signs of hypothermia are subtle; hypothermia is best detected by measuring core body temperature with a thermometer that registers below 95F (35C). Signs of moderate hypothermia may include lethargy and slurred speech. However, severe stages of hypothermia are characterized by muscular rigidity and diminished urinary function.

Answer to Question 2

Ans: A
As hypothermia progresses, mental functioning becomes clouded. More men than women experience hypothermia. Dehydration exacerbates the effects of hypothermia. Diabetes and hypoglycemia are related to higher risk of hypothermia (not hyper).


jho37

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Reply 2 on: Jul 11, 2018
Gracias!

kjohnson

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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