During a period of cold weather, an older adult has been brought to the emergency department with suspected hypothermia. Which of the following assessments should the nurse prioritize with this client?
A) Palpation of the client's extremities to determine temperature
B) Assessment of the client's level of consciousness
C) Assessment of the client's core body temperature
D) Interviewing to determine the client's sensation of cold
Ans: C
The most reliable assessment for hypothermia is measurement of core body temperature. Palpation of extremities, interviewing, and assessment of level of consciousness are also relevant assessments, but the measurement of core body temperature is prioritized.
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