A nurse in the postoperative unit monitors for hypothermia. Which of the following older adults' assessment findings indicates the onset of hypothermia?
A) Cool skin on buttocks
B) Puffy face
C) Shallow respirations
D) Shivering
Ans: A
Cool skin in unexposed areas, such as the abdomen and buttocks, is a distinguishing characteristic of hypothermia. The environmental temperature may be only moderately cool, and the older person will not necessarily shiver or complain of feeling cold. As untreated hypothermia progresses, additional signs may include lethargy, slurred speech, mental changes, impaired gait, puffiness of the face, slowed or irregular pulse, low blood pressure, slowed tendon reflexes, and slow, shallow respirations.
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