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Author Question: The emergency department nurse is admitting a child with a temperature of 35 C (95 F). What physical ... (Read 92 times)

Pea0909berry

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on: Jun 28, 2018
The emergency department nurse is admitting a child with a temperature of 35 C (95 F). What physical effects of hypothermia should the nurse expect to observe in this child? (Select all that apply.)
 
  a. Bradycardia
  b. Vigorous shivering
  c. Decreased respiratory rate
  d. Decreased intestinal motility
  e. Task performance is impaired

Question 2

The nurse is teaching parents of a school-age child how to cleanse small wounds. What should the nurse advise the parents to avoid using to cleanse a wound? (Select all that apply.)
 
  a. Alcohol
  b. Normal saline
  c. Tepid water
  d. Povidoneiodine
  e. Hydrogen peroxide


Madisongo23

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B, D, E
Hypothermia has varying physical effects depending on the child's core temperature. At 35 C (95 F), a child would experience vigorous shivering, decreased intestinal motility, and task performance impairment. Bradycardia and decreased respiratory rate are physical effects observed as the body temperature continues to decrease.

Answer to Question 2

ANS: A, D, E
Caution caregivers to avoid cleansing the wound with povidoneiodine, alcohol, and hydrogen peroxide because these products disrupt wound healing. Normal saline and tepid water are safe to use when cleansing wounds.


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