The nurse is caring for a child who has a temperature of 30° C (86° F). What physical effects of hypothermia should the nurse expect to observe in this child? (Select all that apply.)
a. Reduced urinary output
b. Injury to peripheral tissue
c. Increased blood pressure
d. Tachycardia
e. Irritability with loss of consciousness
f. Rigid extremities
ANS: C, D, E
Hypothermia has varying physical effects depending on the child's core temperature. At 30° C (86° F), a child would experience an increase in blood pressure, tachycardia, and irritability followed by a loss of consciousness. Reduced urinary output from a decrease of blood flow to the kidneys, injury to peripheral tissue, and rigid extremities are physical effects observed as the body temperature continues to decrease.
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