Author Question: Which of the following nursing assessment data are most reflective of hypothermia? 1. Cyanotic ... (Read 51 times)

jake · **on:** Jul 23, 2018

Which of the following nursing assessment data are most reflective of hypothermia?

1. Cyanotic lips, fingers, and toes
2. Rectal temperature of 35 C (95 F)
3. Bradycardia of 56 beats per minute
4. Exposure to outdoor temperatures of <32 F

Question 2

A mother of a young child enters the kitchen and finds the child on the floor. There is a bottle of cleanser next to the child and particles of the substance around the child's mouth. The parent's first action should be to:

1. Call the Poison Control unit
2. Provide ipecac syrup
3. Check the child's airway and breathing
4. Remove the particles of cleanser from the mouth

dominiqueenicolee · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2
Hypothermia occurs when the core body temperature is 35 C (95 F) or below. While the re-maining options are not incorrect, they may be due to other factors.

Answer to Question 2

ANS: 3
The first action is to assess for airway patency, breathing, and circulation. After checking the child's airway, breathing, and circulation, the parent should remove any particles of cleanser from the mouth. The parent should identify the type and amount of substance ingested and then call the Poison Control unit. The parent should only administer ipecac syrup if instructed to induce vomiting by the Poison Control unit. Administering ipecac is not the parent's first action. Re-moving the particles of cleanser is not the parent's first action. The parent may do so after as-sessing the child's airway, breathing, and circulation.