An infant's temperature is recorded at 36°C (96.8°F) during the morning assessment. Which action should the nurse take?

Question

Quizplus · Accepted Answer

This temperature potentially indicates hypothermia, so the infant should be wrapped securely in a blanket and reassessed after that intervention. Findings should be documented in the EHR; however, this is not the priority intervention. Unwrapping the infant would lead to further compromise and additional risk for the core temperature to drop. Feeding the infant with glucose water may eventually be used as an intervention if the infant shows additional signs of hypoglycemia, which may accompany hypothermia.

An Infant's Temperature Is Recorded at 36°C (96