A nurse in the intensive care unit monitors an older adult admitted with hypothermia. Which of the following assessment findings indicates the need to notify the primary health care provider immediately?
A) Shivering
B) Slurred speech
C) Temperature of 95.5°F (35.3°C)
D) Urine output of 25 mL per hour
Ans: D
Early signs of hypothermia are subtle; hypothermia is best detected by measuring core body temperature with a thermometer that registers below 95°F (35°C). Signs of moderate hypothermia may include lethargy and slurred speech. However, severe stages of hypothermia are characterized by muscular rigidity and diminished urinary function.
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