Week 3: Final Knowledge Check Thermoregulation

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

35 °C

Which condition should be reported immediately to the primary healthcare provider?

Body temperature of 102° F with vaginal discharge 48 hours after cervical biopsy

How does the human body conserve heat? Select all that apply.

By decreasing muscle activity in the body Through peripheral vasoconstriction in body By shunting blood away from the skin surface

A client with hypothermia is brought to the emergency department. What treatment does the nurse anticipate?

Core rewarming with warm fluids

Which anatomic changes result in thermodysregulation in elderly people? Select all that apply.

Decreased circulation of blood Decreased number of sweat glands Decreased vasoconstrictive response

The nurse is preparing to bathe a neonate born at 30 weeks of gestation. Which practices by the nurse ensure the infant's safety? Select all that apply.

Immerses the neonate fully except the head in the tub Measures the body temperature within 2 to 4 hours before giving the bath Uses cleansing agents with neutral pH and minimal dyes while giving the bath

Which is the first sign that would help the nurse in diagnosing malignant hyperthermia in a client?

Increased expired carbon dioxide

A client has a fever spike that is combined with normal temperature levels. The client's body temperature returns to a normal body temperature at least once a day. Which type of fever can be assessed in the client?

Intermittent

While caring for a client on phenelzine, the nurse finds an excess elevation of the client's temperature. Which other medication currently being taken by the client may be responsible for this condition?

Meperidine

The client presents to the emergency department with increasing incoherence and periods of stupor. According to the EMS, the client was found wandering outside in the cold without a coat. Which condition would the nurse consider to be responsible for the client's signs and symptoms?

Moderate hypothermia

The primary healthcare 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 staphylococcus infection.

The primary healthcare provider prescribes warm intravenous fluids for a client with a body temperature of 28 °C. During administration of the fluids, it is important for the nurse to continuously monitor what?

The client's cardiac function

While performing cardiac surgery, the cardiologist intentionally induces hypothermia in the client. The nurse understands that the rationale for this intervention is what?

To prevent tissue ischemia

A client in the gynecology unit has edema and a sore throat. Upon assessment, a nurse finds that the client has a body temperature of 101° F and a blood pressure reading of 80/60 mmHg. Which condition would the nurse suspect?

Toxic shock syndrome (TSS)

A nurse is caring for a client with an underactive thyroid gland. Which responses should the nurse expect the client to exhibit as a result of decreased levels of triiodothyronine (T 3) and thyroxine (T 4)? Select all that apply.

Weight gain Cold intolerance