During a period of cold weather, an older adult has been brought ...

[brutforce]

During a period of cold weather, an older adult has been brought to the emergency department with suspected hypothermia. Which of the following assessments should the nurse prioritize with this client?
 
  A) Palpation of the client's extremities to determine temperature
  B) Assessment of the client's level of consciousness
  C) Assessment of the client's core body temperature
  D) Interviewing to determine the client's sensation of cold

Question 2

A community care nurse plans care for older adults as the fall season sets in a cooler weather starts. Which of the following clients is at greatest risk for development of hypothermia?
 
  A) Client who lives in an apartment building
  B) Client who sets the thermostat at 76F year round
  C) Institutionalized older adult with cancer
  D) Older adult who has dementia and lives alone

[adf223]

Answer to Question 1

Ans: C
The most reliable assessment for hypothermia is measurement of core body temperature. Palpation of extremities, interviewing, and assessment of level of consciousness are also relevant assessments, but the measurement of core body temperature is prioritized.

Answer to Question 2

Ans: D
The client with dementia has multiple risks for hypothermia including loss of sensation, difficulty with decision, and living alone. Even in environmental temperatures of 68F (20C) an older person may become hypothermic, especially if other risk factors are present.