Difficulty: Medium
Average Score: 90%
Simulated
The client has been hospitalized after a severe head injury. The nurse recognizes that the client's difficulty in maintaining a normal body temperature when there is no infection present can be the result of which of these?
Correct answer
C
Rationale
The correct answer is C. The hypothalamus is responsible for regulating body temperature. A head injury can disrupt the hypothalamus function, leading to difficulty in maintaining normal body temperature. This is known as hypothalamic dysfunction. A: Errors in measuring temperature by the nurse assistant would not directly affect the client's ability to regulate body temperature. B: Increased vasodilatation of superficial vessels would actually help retain heat, not contribute to excess heat loss. D: Choosing the wrong time of day to obtain vital signs would not impact the client's ability to regulate body temperature.