Page 14 - INTRODUCTION OF NURSING 1.4 The Nursing Process (PART 2)
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Nursing Assessment
Assessment Rationales
For alert patients, oral temperature is regarded as
more reliable than tympanic or axillary. For
Note and monitor patient’s hypothermic patients, core temperature can be
temperature. monitored using a temperature-sensitive pulmonary
artery catheter or bladder catheter.
HR and BP drop as hypothermia progresses.
Monitor the patient’s HR, Moderate to severe hypothermia increases the risk
heart rhythm, and BP. for ventricular fibrillation, along with other
dysrhythmias.
