Thermoregulation EAQ

What are the clinical manifestations of inhalation anthrax? (Select all that apply) A. Fever B. Fatigue C. Rhinitis D. Dry cough E. Sore throat

A, B, D, E

What sites would be safe and inexpensive for temperature measurement? (Select all that apply.) A. Skin B. Oral C. Axilla D. Rectal E. Tympanic Membrane

A, C

Which sites would be safe and inexpensive for temperature measurement? Select all that apply. A. Skin B. Oral C. Axilla D. Rectal E. Tympanic membrane

A, C

Which symptoms are common during the fulminate stage of inhalation of anthrax? Select all that apply. A. Dyspnea B. Dry cough C. Diaphoresis D. Mild chest pain E. High temperature

A, C, E

What are the signs and symptoms observed in the human body with a decrease in body temperature? A. Shivering B. Profuse sweating C. Flushed appearance D. Dilation of blood vessels E. Contraction of blood vessels

A, E

Which is a characteristic of the glands that secrete a thick substance in response to emotional stimulation and become odoriferous because of bacterial action? A. Highly active in childhood B. Absent around the umbilicus C. Widely distributed throughout the body D. Grow in conjunction with axillary hair follicles.

D

While assessing a neonate's temperature, the nurse observes a drop in the body temperature. What is the most appropriate reason for this temperature drop? A. Increased basal metabolic rate B. Decreased involuntary shivering C. Increased voluntary movements D. Decreased non shivering thermogenesis

D

While assessing a client with chills and fever, the nurse observes that the febrile episodes are followed by normal temperatures and that the episodes are longer than 24 hours. Which fever pattern does the nurse anticipate? A. Relapsing B. Sustained C. Remittent D. Intermittent

A

An older adult with chills arrived to the hospital. The nurse assesses the patient's vital signs and determined the patient has a fever. What would be the patient's rectal temperature? A. 36.0C B. 36.8C C. 37.2C D. 38.5C

D

During the assessment of a preterm neonate the nurse determines that the infant is experiencing hypothermia. Which action should the nurse take? A. Rewarm gradually B. Notify the practitioner C. Assess for hyperglycemia D. Record skin temperature hourly

A

The nurse is measuring the body temperature of four neonates born at term in a pediatric health setting. Which neonate has normal body temperature? A. 35.5C B. 36.0C C. 37.1C D. 38.5C

C

A nurse is panning care for a toddler who has ingested aspirin. What assessment warrants close monitoring because an increase can result in further complications? A. Blood pressure B. Abdominal girth C. Body temperature D. Serum glucose level

C-- Hyperpyrexia is a manifestation of acute aspirin poisoning.

While obtaining the vital signs of a patient, the nurse finds that the body temperature of a client is 98.6F. The nurse concludes that the client is experiencing what? A. Hypothermia B. Hyperpyrexia C. Hyperthermia D. Normothermia

D

Which antipyretic medication may cause Eye syndrome in children? A. Aspirin (Anacin) B. Naproxen (Aleve) C. Ibuprofen (Advil) D. Dantrolene (Dantrium)

A

A client experiencing chills and fever is admitted to the hospital. After assessing the client's vitals and medical history, the nurse concluded that the client's fever pattern is remittent. Which assessment finding led to this conclusion? A. The client's temperature returns to an acceptable value at least once in the past 24 hours. B. The client's fever spikes and falls without a return to normal temperature levels. C. Periods of febrile episodes and periods with acceptable temperature values occur. D. The client has a constant body temperature continuously above 38.0C with minimal function.

B

A client's temperature is 100.4F (38C) 12 hours after a spontaneous vaginal birth. What does the nurse suspect is the cause of the increased temperature? A. Mastisis B. Dehydration C. Puerperal infection D. Urinary tract infection

B

On the day after surgery for insertion of ventriculoperitoneal shunt to treat hydrocephalus, an infant's temperature increases to 103.0F (39.4C). The nurse immediately notifies the practitioner. What is the next nursing action? A. Covering the infant with a bath blanket. B. Sponging the infant with tepid alcohol. C. Removing excess clothing from the infant. D. Reassessing the infant's temperature in several hours.

C

The nurse finds that the client's fever spikes and falls without a return to a normal level. Which pattern of fever is this a characteristic of? A. Relapsing B. Sustained C. Remittent D. Intermittent

C

A client presents to the emergency department with weakness and dizziness. The blood pressure is 90/60 mm Hg, pulse is 92 and weak, and body weight reflects a 3-pound (1.4 kilogram) loss in two days. The weather has been hot. Which condition should the nurse conclude is the priority for this client? A. Deficient fluid volume B. Impaired skin integrity C. Inadequate nutritional intake D. Decreased participation in activities

A

A patient presents to the emergency department with weakness and dizziness. The blood pressure is 90/60 mm Hg, pulse is 92 and weak, and body weight reflects a 3- pound (1.4kg) loss in two days. The weather has been hot. Which condition should the nurse conclude is the priority for this patient? A. Deficient fluid volume B. Impaired skin integrity C. Inadequate nutrition intake D. Decreased participation in activities

A

A patient with a history of hypothyroidism reports giddiness, excessive thirst, and nausea. Which parameter assessed by the nurse confirms the diagnosis as heat stroke? A. Increased heart rate B. Increased blood pressure C. Decreased respiratory rate D. Increased circulatory damage

A

An older adult with a history of diabetes reports giddiness, excessive thirst, and nausea. During an assessment, the nurse notices the patient's body temperature as 105F. Which condition does the nurse suspect in the client? A. Heat stroke B. Heat exhaustion C. Accidental hypothermia D. Malignant hyperthermia

A

A patient with multiple myeloma who is receiving chemotherapy has a temperature of 102.2F (39C). the temperature was 99.2F (37.3C) when it was taken 6 hours ago. What is a priority nursing intervention in this case? A. Assess the amount and color of urine; obtain a specimen for a urinalysis. B. Administer the prescribed antipyretic and notify the primary health care provider. C. Note the the consistency of respirations and obtain a specimen for culture. D. Obtain the respirations, pulse, and blood pressure; recheck the temperature in 1 hour.

B

After surgery for insertion of a coronary artery bypass graft (CABG), a client develops a temperature of 102F (38.9C). Which priority concern related to elevated temperatures does a nurse consider when notifying the healthcare provider about the patient's temperature? A. A fever may lead to diaphoresis. B. A fever increases the cardiac output. C. An increased temperature indicated cerebral edema. D. An increased temperature may be a sign of hemorrhage.

B

After surgery for insertion of a coronary artery bypass graft (CABG), a client develops a temperature of 102° F (38.9° C). Which priority concern related to elevated temperatures does a nurse consider when notifying the healthcare provider about the client's temperature? A. A fever may lead to diaphoresis. B. A fever increases the cardiac output. C. An increased temperature indicates cerebral edema. D. An increased temperature may be a sign of hemorrhage.

B

The nurse is measuring the body temperature of four clients in a clinical setting. Which client is in need of rewarming through cardiopulmonary bypass? A. 94.2F B. 85.3F C. 89.4F D. 91.5F

B

The parent to a preterm infant asks the nurse in the neonatal intensive care unit why the baby is in a bed with a radiant warmer. How does the nurse explain the increased risk for hypothermia in preterm infants? A. have a smaller body surface area than full- term newborns. B. Lack the subcutaneous fat that usually provides insulation. C. Perspire excessively, causing a constant loss of body heat. D. Have a limited ability to produce antibodies against infections.

B

While assessing a neonate's temperature, the nurse observes a drop in the body temperature. What is the most appropriate reason for this temperature drop? A. Increased basal metabolic rate B. Decreased involuntary shivering C. Increased voluntary movements D. Decreased nonshivering thermogenesis

D

The nurse tells a patient undergoing diuretic therapy to avoid working in the garden on hot summer days. What condition is the nurse trying to prevent in this client? A. Frostbite B. Heatstroke C. Hypothermia D. Hyperthermia

B

Which parts of the body assessed by the nurse would confirm a diagnosis of frostbite? A. Axilla B. Fingers C. Ear lobes D. Forehead E. Upper thorax

B, C

A nurse is caring for a mother and neonate. What is the priority nursing action to prevent heat loss in the neonate immediately after birth? A. Bottle feeding immediately after birth B. Dressing the newborn in a shirt and gown immediately C. Bathing the newborn in warm water as soon as possible D. Putting the naked newborn on the mother's skin and covering the infant with a blanket.

D

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. An injury to which part of the brain may be the reason for this condition? A. Pons B. Medulla C. Thalamus D. Hypothalamus

D

The nurse is presenting information about hyperthermia to a group of nursing students. Which activities put a client at risk for this condition? A. Snowmobiling B. Skiing in the winter C. Hiking Alasking mountains D. Performing strenuous activity in high humidity

D