When assessing a patient with a 40oC core body temperature, which manifestations cause the nurse to determine that the patient has heat stroke?
A) Heavy sweating, excessive thirst, bradycardia
B) Nausea, weakness, sweating
C) Confusion, anxiety, sweating
D) Hot, flushed dry skin; bradycardia; confusion
D) Hot, flushed dry skin; bradycardia; confusion
Explanation: A) In heat exhaustion, the patient may manifest heavy sweating, excessive thirst, nausea, bradycardia, weakness, and dizziness. Temperatures rise to 40°C or greater.
B) In heat exhaustion, the patient may manifest heavy sweating, excessive thirst, nausea, bradycardia, weakness, and dizziness. Temperatures rise to 40°C or greater.
C) Heat stroke has many of the same symptoms of nausea, bradycardia, and weakness as heat exhaustion. In heat stroke, confusion, anxiety, or loss of consciousness also occur as the body temperature rises. Unlike the clammy, drenched skin of the heat exhaustion victim, heat stroke is characterized by a decrease in sweating and hot, flushed, dry skin.
D) Heat stroke has many of the same symptoms of nausea, bradycardia, and weakness as heat exhaustion. In heat stroke, confusion, anxiety, or loss of consciousness also occur as the body temperature rises. Unlike the clammy, drenched skin of the heat exhaustion victim, heat stroke is characterized by a decrease in sweating and hot, flushed, dry skin.
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