interactive review questions for RNs- thermoregulation

which sites would be safer and less expensive for temperature measurement?

- skin -axilla

which physiological characteristics of newborns affect medication dosage considerations?

a newborns less regulated body temperature immature liver and kidneys lungs and weaker mucous barriers

a child is about to be admitted to the pediatric intensive care unit (PICU) after surgery for removal of a tumor in the hypothalamic region of the brain. which action by the nurse caring for the child requires the nurse manager to intervene ?

adjusts the bed to the Trendelenburg position

a client receiving chemotherapy develops a temperature of 102.2 F (39 C). The temperature 6 hours ago was 99.2 F (37.C). Which nursing intervention is the priority in this case?

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

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

while assessing a term infant a few hours after birth, the nurse finds a body temperature of 95.5F (35.3). which action would the nurse perform ?

keep the infant in a double walled incubator for a few hours

a homeless person is brought to the emergency department after prolonged exposure to cold weather. what clinical manifestation would the nurse expect ?

stupor

which intervention would the nurse perform first for a clinic client reporting a productive cough with copious yellow sputum, fever, and chills for the past 2 days ?

take the temperature.

which clinical manifestations would the nurse expect client with hypothyroidism to exhibit?

- cool skin - decreased appetite - constipation - periorbital edema

a child's blood test after receiving a general anesthetic indicates increased intracellular calcium levels. which medication would the nurse anticipate administering to this client ?

- dantrolene

which symptoms are common during the fulminant stage of inhalation of anthrax ?

- dyspnea - diaphoresis - high temperature

identify the clinical manifestations associated with inhalation anthrax?

- fever -fatigue -dry cough

which parts of the body assessed by the nurse would confirm a diagnosis of frostbite?

- fingers - ear lobes

the nurse is admitting a patient to the emergency room on a cold winter night. which assessment finding would cause the nurse to suspect hypothermia?

- slow capillary refills

when a client arrives in the emergency department after prolonged exposure to cold weather, which clinical manifestations will nurse expect to find ?

- stupor - paranesthesia in affected body parts

the nurse assesses for which client symptoms that indicate hyperthermia ?

- vasodilation - dry and flushed skin - decreased urinary output

which signs and symptoms are observed in the human body with a decrease in body temperature ?

-shivering - contraction of blood vessels

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

1. immune system response is triggered 2. the set point of the hypothalamus is raised 3. body temperature is increased 4. pyrogens are destroyed 5. heat loss responses are initiated

the nurse records the temperature of a 4 year old child as 40 C. what is the temperture in degrees fahrenheit ?

104

the client with which core body temperature requires priority critical care ?

27 C

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 clients vital signs and determined the client has a fever. which would be the clients rectal temperature ?

38.5 C

a preschool-age child has a temperature of 104F. what is the temperature when converted into degrees celsius?

40 C

a primary health care provider prescribes the application of a warm soak to an intravenous (IV) site that has infiltrated. the application of local heat transferring temperature to the body is which principle ?

conduction

a patient with hypothermia is brought to the emergency department. what treatment should the nurse anticipate?

core rewarming with warm fluids

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

a client with a head injury underwent a physical examination. the nurse observes that the clients temperature assessments do not correspond with the clients condition. which part of the clients 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

which clinical indicator will the nurse likely identify when assessing a patient with pyrexia (fever)

increased pulse rate

a client has a fever spike combined with normal temperature levels. the clients body temperature returns to a normal body temperature at least once a day. which type of fever can be assessed in the client?

intermittent

which action would the nurse take to prevent the loss of heat through convection in a newborn?

keep the infants crib away from the window

A parent of a preterm infant asks a nurse in the neonatal intensive care unit why the baby is in a bed with a radiant warmer. how would the nurse explain the increased risk for hypothermia in preterm infants?

lack of subcutaneous fat that usually provides insulation

which condition would the nurse consider to be responsible for the clients increasing incoherence and periods of stupor after wandering outside in the cold without with a coat?

moderate hypothermia

the primary health care provider instructs the nurse to apply an emollient to an infant. during assessment, the nurse finds that the neonate is a preterm infant and has a body weight of 900 g. which is the appropriate nursing intervention in this situation?

monitor for coagulase- negative staphylococcal infection

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

normothermia

which steps would the nurse take to measure the temperature of a 4 year old child using electronic infrared thermometer?

pull the pinna up and out avoid applying pressure to the ejection button obtain the temperature from the clients right ear if the nurse is right handed

which nursing intervention would the nurse provide to prevent heat loss in the neonate immediately after birth ?

putting the naked newborn on the mothers bare chest

which heat loss mechanism would the nurse minimize by swaddling a newborn infant with a blanket ?

radiation

the nurse is caring for an unconscious client who underwent head surgery. which site would be correct to monitor body temperature ?

rectal

while assessing a client with chills and fever, the nurse observes that the febrile episodes are followed by normal temperature. these episodes are longer than 24 hours. which fever pattern would the nurse anticipate?

relapsing

the nurse finds that the clients fever spikes and falls without a return to a normal level. which pattern of fever is this characteristic of ?

remittent

which is the priority nursing invention for a patient with hyperthermia?

removing excess clothing

a client experiencing chills and fever is admitted to the hospital. after assessing the clients vital and medical history, the nurse concludes that the clients fever pattern is remittent. which assessment finding led to this conclusion?

the clients fever spikes and falls without a return to normal temperature levels