WEEK 3: THERMOREGULATION

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

38.5

The nurse is measuring the body temperature of four clients in a clinical setting. Which client is in need of rewarming through cardiopulmonary bypass?

85.3 F

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 fever increases the cardiac workload.

A client with multiple myeloma who is receiving chemotherapy has a temperature of 102.2° F (39° C). The temperature was 99.2° F (37.3° C) when it was taken 6 hours ago. What is a priority nursing intervention in this case?

Administer the prescribed antipyretic and notify the primary health care provider.

Which antipyretic medication may cause Reye syndrome in children?

Apirin(Anacin)

What are the clinical manifestations of inhalation anthrax? Select all that apply.

Fever Fatigue Dry cough

Which parts of the body assessed by the nurse would confirm a diagnosis of frostbite? Select all that apply.

Fingers Earlobes

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

Heatstroke

The parent of 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?

Lack the subcutaneous fat that usually provides insulation

While obtaining the vital signs of a client, the nurse finds that the body temperature of the client is 98.6 °F. The nurse concludes that the client is experiencing what?

Normothermia

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?

Putting the naked newborn on the mother's skin and covering the infant with a blanket

The nurse cares for an unconscious client who underwent head surgery. Which site would be best used to monitor body temperature?

Rectal

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?

Remittent

On the day after surgery for insertion of a ventriculoperitoneal shunt to treat hydrocephalus, an infant's temperature increases to 103.0° F (39.4° C). The nurse immediately notifies the practitioner. What is the next nursing action?

Removing excess clothing from the infant

Which body temperature measurement sites would be considered safe, inexpensive, and least invasive? Select all that apply.

Skin Axilla

A client's temperature is 100.4° F (38° C) 12 hours after a spontaneous vaginal birth. What does the nurse suspect is the cause of the increased temperature?

Dehydration

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. Which condition does the nurse suspect in the client?

Heatstroke

A nurse is planning care for a toddler who has ingested aspirin. What assessment warrants close monitoring because an increase can result in further complications?

Body temperature

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?

Decreased nonshivering thermogenesis

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?

Deficient fluid volume

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?

Hypothalamus

The nurse is presenting information about hyperthermia to a group of nursing students. Which activities put a client at risk for this condition?

Performing strenuous activity in high humidity

During the assessment of a preterm neonate the nurse determines that the infant is experiencing hypothermia. Which action should the nurse take?

Rewarm gradually

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?

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

What are the signs and symptoms observed in the human body with a decrease in body temperature? Select all that apply.

Shivering Contraction of blood vessels