The daughter of an older adult patient who has just returned from surgery is distressed about her father's pale, cold hands and feet. The nurse covers the patient with an extra blanket and responds:
1. "Don't be concerned. It is quite cold in the operating room. Your dad will be warm in a minute."
2. "Older patients like your dad get a little ‘shocky' during surgery."
3. "When patients have blood loss during surgery, superficial vessels close off tem-porarily, making for cold extremities."
4. "We are watching the disturbed circulation in your dad's hands and feet very carefully."
3
The 10% of the blood network that is in the skin can be reduced by constriction and shunted to the vital organs.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1122-1123
OBJ: 1 TOP: Skin Blood Reservoir
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
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