Author Question: A nurse who oversees the care in a nursing home is aware that the older adults who reside in the ... (Read 59 times)

fagboi · **on:** Jul 11, 2018

A nurse who oversees the care in a nursing home is aware that the older adults who reside in the facility are vulnerable to impaired thermoregulation. What information source should the nurse prioritize when regulating the temperature in the facility?

A) The nurse's perception of heat and cold when dressed similarly to the residents
B) Readings from an accurate thermometer
C) The input from nursing assistant and unlicensed care providers in the facility
D) The suggestions of residents who do not have cognitive impairments

Question 2

An 83-year-old puts on a sweatshirt and jacket preparing to go outside where it is currently 60F. What interpretation should the nurse give to these actions?

A) The client is experiencing a reaction to a medication.
B) The client has decreased circulation due to heart failure.
C) The client has a dementia and cannot make decisions.
D) The client dresses to maintain an adequate internal temperature.

blfontai · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
A reliable thermometer must be used in order to maintain a temperature as close to 75F as possible. This objective data source supersedes the subjective perceptions of nurses, care providers, or certain residents, though each should likely be considered.

Answer to Question 2

Ans: D
Older adults often report feeling cold, even in warm environments, and they generally prefer environmental temperatures that are at least 75F. This choice of attire seems appropriate for the 60oF.