A nurse monitors a group of older adults. Which of the following older adults is a high risk for functional consequences of altered thermoregulation? (Select all that apply.)

A) 78-year-old adult with heart failure
B) 75-year-old adult with a urinary tract infection
C) 80-year-old adult with vascular-type dementia
D) 71-year-old participant in a wellness center
E) 72-year-old adult with peptic ulcer disease


Ans: A, B, C
A healthy older adult in a comfortable environment will experience few, if any, functional consequences of altered thermoregulation. In the presence of any risk factor, however, hypothermia or heat-related illness may develop in an older adult. Even moderately adverse environmental temperatures can precipitate hypothermia or heat-related illness in an older adult, especially in the presence of additional predisposing factors, such as certain medications or pathologic conditions. Age-related changes, which can affect processes involved with heat loss or production, begin during the fifth decade, and their cumulative effects are experienced during the seventh or eighth decade.

Nursing

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