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1. A postoperative clients temperature is 95.9°F (35.5°C). What additional assessment findings should the nurse anticipate?

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Answer #1

Hypothermia is defined as tge condition when the body temperature goes below 95F. Hypothermia is classified as mid, moderate or severe. the symptoms include shivering, vasoconstriction, respiratory difficulty, cold extremities. Severe symptoms include mental confusion, dysrhythmia and respiratory problems.

The patient has a temperature of 95.9F. This means that the hypothermia has not set in the patient. But the patient is at risk of developing hypothermia. The patient body senses the drop in temperature and starts thermoregulating. Shivering, goosebumps and pale skin are first body responses to drop in temperature.

If hypothermia sets in body will conserve heat through vasoconstriction in areas that are cold leading to cold extremities. So option (1) cool fingers and toes and capillary refill > 3 second has not yet started.

Diaphoresis is excessive sweating. This is incorrect option.

Perioral cyanosis is also a late sign of hypothermia.

So the correct option is (5) goosebumps. This is one of the first body response to cold exposure to in order to generate heat and maintain body temperature.

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