Thermoregulation EAQ

Arrange the sequence of events occurring during a fever in chronological order.

(3.)Body temperature is increased., (5.)Heat loss responses are initiated., (1.)Immune system response is triggered., (2.)The set point of the hypothalamus is raised., (4.)Pyrogens are destroyed.

The nurse notes that a client has mild hypothermia based on which body temperature?

35°C

An older adult with chills arrived to the hospital. The nurse assesses the client's vital signs and determined the client has a fever. Which would be the client's rectal temperature?

38.5°C

A client receiving chemotherapy develops a temperature of 102.2°F (39°C). The temperature 6 hours ago was 99.2°F (37.3°C). Which nursing intervention is the priority in this case?

Administer the prescribed antipyretic and notify the primary health care provider of this change.

A pediatric client with a past history of chicken pox reports a fever and headache. Which medication would the nurse avoid giving to the client?

Aspirin

Which antipyretic medication may cause Reye syndrome in children?

Aspirin

While assessing a neonate's temperature, the nurse observes a drop in the body temperature. Which would be the reason for this temperature drop?

Decreased nonshivering thermogenesis

Which symptoms are common during the fulminant stage of inhalation of anthrax? Select all that apply. One, some, or all responses may be correct.

Dyspnea, Diaphoresis,High temperature

Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the mother. Which type of heat loss would this intervention prevent?

Evaporation

Which parts of the body assessed by the nurse would confirm a diagnosis of frostbite? Select all that apply. One, some, or all responses may be correct.

Fingers, Ear lobes

An older adult with a history of diabetes reports giddiness, excessive thirst, and nausea. During an assessment, the nurse notices the client's body temperature as 105°F (40.6°C), orally. Which condition would the nurse suspect in the client?

Heat stroke

The nurse tells a client undergoing diuretic therapy to avoid working in the garden on hot summer days. Which condition is the nurse trying to prevent in this client?

Heatstroke

A client with a head injury underwent a physical examination. The nurse observes that the client's temperature assessments do not correspond with the client's condition. Which part of the client's brain would the nurse suspect is injured?

Hypothalamus

A client reports giddiness, excessive thirst, and nausea. Which parameter assessed by the nurse confirms the diagnosis as a heat stroke?

Increased heart rate

The nurse is measuring the body temperature of four neonates born at term in a pediatric health setting. Which neonate has normal body temperature?

Neonate 3

While assessing a client with chills and fever, the nurse observes that the febrile episodes are followed by normal temperatures. These episodes are longer than 24 hours. Which fever pattern would the nurse anticipate?

Relapsing

The nurse finds that the client's fever spikes and falls without a return to a normal level. Which pattern of fever is this characteristic of?

Remittent

Which signs and symptoms are observed in the human body with a decrease in body temperature? Select all that apply. One, some, or all responses may be correct.

Shivering, Contraction of blood vessels

A client experiencing chills and fever is admitted to the hospital. After assessing the client's vitals and medical history, the nurse concludes that the client's fever pattern is remittent. Which assessment finding led to this conclusion?

The client's fever spikes and falls without a return to normal temperature levels.

Identify the clinical manifestations associated with inhalation anthrax? Select all that apply. One, some, or all responses may be correct.

fatigue, fever, dry cough

The nurse concludes that a client with a body temperature of 98.6°F is experiencing which condition?

normothermia