Which of the following nursing assessment data are most reflective of hypothermia?
1. Cyanotic lips, fingers, and toes
2. Rectal temperature of 35° C (95° F)
3. Bradycardia of 56 beats per minute
4. Exposure to outdoor temperatures of <32° F
ANSWER
ANS: 2
Hypothermia occurs when the core body temperature is 35° C (95° F) or below. While the re-maining options are not incorrect, they may be due to other factors.
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