A nurse assesses an 82-year-old client who states, "That waiting room is so cold!" Which of the following systems should the nurse assess to determine the source of the clients sensations? (Select all that apply.)
A) Bowel sounds
B) Capillary refill time
C) Oral temperature
D) Respiratory rate
E) Skin temperature
Ans: B, C, E
The age-related changes that impact the older adult's response to cold include inefficient vasoconstriction, decreased cardiac output, diminished peripheral circulation, and delayed and diminished shivering. There is no indication of respiratory or bowel issues.
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