Sherpath CH 29- Temp; WK 3

Which part of the brain maintains a consistent internal body temperature despite environmental extremes?

Thalamus

Brainstem

Cerebellum

Hypothalamus (correct)

Which internal process provides the primary source of heat production?

Exercise

Hormones

Metabolism (correct)

Convection

Which mechanisms primarily enhance heat loss from the body? Select all that apply.

Radiation (correct)

Conduction (correct)

Convection (correct)

Evaporation (correct)

Infants under the age of ___ months have immature regulatory thermoregulation systems. Record answer as a whole number. Use numbers only.

3 Signup and view all the answers

Which factors affect body temperature? Select all that apply.

Stress Signup and view all the answers

Which assessment question would the nurse ask a patient prior to measuring temperature?

“Have you exercised in the last 30 minutes?” Signup and view all the answers

Match the characteristic with the correct temperature assessment site.

Most common site for measuring temperature = Oral Measures core or deep tissue temperature = Tympanic Tolerated by infants and young children = Temporal Very accurate reading but not preferred by patient = Rectal Signup and view all the answers

Which temperature range is expected for an adult patient?

95.9° to 99.5°F (35.5° to 37.5°C) Signup and view all the answers

Which areas of the human body are most vulnerable to frostbite? Select all that apply.

Toes Signup and view all the answers

Which cues would the nurse likely observe in a patient who has hyperthermia? Select all that apply.

Rapid heart rate Signup and view all the answers

Which cues related to thermoregulation can be found in the medical record? Select all that apply.

Results of white blood cell count Signup and view all the answers

Which cues would prompt the nurse to select Fever as a hypothesis? Select all that apply.

Presence of infection Signup and view all the answers

Which patient would the nurse assess first?

One with heatstroke Signup and view all the answers

Which action would the nurse take after developing outcomes for a patient with a fever?

Select solutions. Signup and view all the answers

Which items would the nurse offer to a patient with a low body temperature? Select all that apply.

Hot soup Signup and view all the answers

Match the intervention with its mechanism of action.

Reduce metabolic demands and oxygen use = Sleep and rest Identify the most effective antibiotics = Laboratory tests Help meet the increased metabolic demands produced by fever = Oxygen and nutrients Replace losses from increased respirations and diaphoresis = Oral and IV fluids Signup and view all the answers

Which nonpharmacologic interventions lower a patient’s fever? Select all that apply.

Ice packs Signup and view all the answers

Which mechanism of action would lower a patient’s temperature when taking antipyretics?

Lower the hypothalamus set-point Signup and view all the answers

Which statement from the nurse indicates a correct interpretation of a higher temperature at 1830 when compared to the temperature at 1600?

“This is a typical response based on circadian rhythms.” Signup and view all the answers

Match the mechanism of heat loss to its intervention.

Cooling a patient with a fan = Convection Positioning a patient close to a cold window = Radiation Placing a cool rag on the patient’s forehead = Conduction Checking the patient with a fever for diaphoresis = Evaporation Signup and view all the answers

Which cues would the nurse likely observe in a patient who has a temperature of 92°F (33.3°C)? Select all that apply

Drowsiness Signup and view all the answers

Which patient would the nurse monitor closely for alterations in temperature control?

One who was admitted to the hospital after experiencing a cerebrovascular accident (stroke) Signup and view all the answers

Which statements from the nurse indicate a correct understanding of assessment sites for temperature?

“Rectal temperature readings are avoided for infants.” Signup and view all the answers

Which action would the nurse take immediately after assessing a patient’s temperature to determine whether the patient has heat exhaustion or heatstroke?

Touch the patient’s skin. Signup and view all the answers

Place the steps in order when caring for a patient who is febrile.

Administer antipyretic. = 5 Reassess temperature to evaluate care for Fever. = 6 Develop expected outcomes& Select solutions for Fever. = 3 &4 Gather cues from the temperature assessment & Analyze cues to determine hypothesis of Fever. = 1 &2 Signup and view all the answers

Which interventions would the nurse select for a patient with hypothermia who was rescued from drowning in a freezing river?

Administer prescribed warmed intravenous fluids. Signup and view all the answers

Which action by the nurse supports the hypothesis of Hypothermia when the patient presents with decreased respirations, cool skin, and low body temperature?

Take the patient’s blood pressure, which shows hypotension. Signup and view all the answers

Which statement from the nurse indicates appropriate clinical judgment in choosing a temperature assessment site?

“Because the patient has a low white blood cell count, I will not take a rectal temperature.” Signup and view all the answers

Which actions would the nurse take for a patient who has a fever? Select all that apply

Decrease stress level. Signup and view all the answers

Which patient temperature measurements would cause the nurse to intervene? Select all that apply

15-year-old: 100°F (37.8°C) Signup and view all the answers

Which instruction will the nurse give the parent who asks how much aspirin should be given to a 3-year-old with a viral infection?

“Do not give the medication.” Signup and view all the answers

Which outcome would the nurse develop for a patient who is afebrile?

Patient’s temperature will be within the expected range until discharge. Signup and view all the answers

Match each condition with its proper definition.

Exposure to extreme cold, resulting in low body temperature = Hypothermia Ice crystals form inside cells, causing tissue damage = Frostbite Rise in body temperature above expected, caused by trauma or illness = Fever High body temperature, caused by prolonged exposure to extreme heat = Hyperthermia Signup and view all the answers

Which cues alert the nurse a patient with hypothermia is improving? Select all that apply

Temperature increases. Signup and view all the answers

Place the patients in the order in which the nurse would prioritize their care from highest priority to lowest priority.

Middle-aged adult with heatstroke = 1 Young adult with a fever = 3 Older adult patient with a fever = 2 Teenager who is afebrile = 4 Signup and view all the answers

Which cues alert the nurse that a patient with hyperthermia is declining? Select all that apply

Temperature increases. Signup and view all the answers

Which action would the nurse take when measuring the tympanic temperature of a 5-year-old?

Pull the pinna up and back. Signup and view all the answers

Which action would the nurse take when the unlicensed assistive personnel (UAP) reports an adult patient has a 99.5°F (37.5°C) temperature?

Recognize this is an expected finding. Signup and view all the answers

Which instruction would the nurse share with a male patient who calls the clinic and tells the nurse that over a 24-hour period he has taken two extra strength acetaminophen tablets (1000 mg) every 4 hours for a fever?

This is too much acetaminophen. Signup and view all the answers

Match the intervention to its pathophysiologic cause.

Heat-loss processes outpace heat-generating processes = Institute rewarming measures Heat-generating processes overcome heat-loss processes = Institute cooling measures Heat-loss processes equal heat-generating processes = Use measures to maintain expected temperature Hypothalamus set-point is elevated = Administer antipyretics Signup and view all the answers

Which temperature site is the nurse preparing to measure when using this piece of equipment?

Temporal Signup and view all the answers

When the nurse is reviewing medications, for which patients would the nurse need to notify the health care provider? Select all that apply

Patient with liver disease who is receiving acetaminophen Signup and view all the answers

Sherpath CH 29- Temp; WK 3

Questions and Answers

Which part of the brain maintains a consistent internal body temperature despite environmental extremes?

Which internal process provides the primary source of heat production?

Which mechanisms primarily enhance heat loss from the body? Select all that apply.

Infants under the age of ___ months have immature regulatory thermoregulation systems. Record answer as a whole number. Use numbers only.

Which factors affect body temperature? Select all that apply.

Which assessment question would the nurse ask a patient prior to measuring temperature?

Match the characteristic with the correct temperature assessment site.

Which temperature range is expected for an adult patient?

Which areas of the human body are most vulnerable to frostbite? Select all that apply.

Which cues would the nurse likely observe in a patient who has hyperthermia? Select all that apply.

Which cues related to thermoregulation can be found in the medical record? Select all that apply.

Which cues would prompt the nurse to select Fever as a hypothesis? Select all that apply.

Which patient would the nurse assess first?

Which action would the nurse take after developing outcomes for a patient with a fever?

Which items would the nurse offer to a patient with a low body temperature? Select all that apply.

Match the intervention with its mechanism of action.

Which nonpharmacologic interventions lower a patient’s fever? Select all that apply.

Which mechanism of action would lower a patient’s temperature when taking antipyretics?

Which statement from the nurse indicates a correct interpretation of a higher temperature at 1830 when compared to the temperature at 1600?

Match the mechanism of heat loss to its intervention.

Which cues would the nurse likely observe in a patient who has a temperature of 92°F (33.3°C)? Select all that apply

Which patient would the nurse monitor closely for alterations in temperature control?

Which statements from the nurse indicate a correct understanding of assessment sites for temperature?

Which action would the nurse take immediately after assessing a patient’s temperature to determine whether the patient has heat exhaustion or heatstroke?

Place the steps in order when caring for a patient who is febrile.

Which interventions would the nurse select for a patient with hypothermia who was rescued from drowning in a freezing river?

Which action by the nurse supports the hypothesis of Hypothermia when the patient presents with decreased respirations, cool skin, and low body temperature?

Which statement from the nurse indicates appropriate clinical judgment in choosing a temperature assessment site?

Which actions would the nurse take for a patient who has a fever? Select all that apply

Which patient temperature measurements would cause the nurse to intervene? Select all that apply

Which instruction will the nurse give the parent who asks how much aspirin should be given to a 3-year-old with a viral infection?

Which outcome would the nurse develop for a patient who is afebrile?

Match each condition with its proper definition.

Which cues alert the nurse a patient with hypothermia is improving? Select all that apply

Place the patients in the order in which the nurse would prioritize their care from highest priority to lowest priority.

Which cues alert the nurse that a patient with hyperthermia is declining? Select all that apply

Which action would the nurse take when measuring the tympanic temperature of a 5-year-old?

Which action would the nurse take when the unlicensed assistive personnel (UAP) reports an adult patient has a 99.5°F (37.5°C) temperature?

Which instruction would the nurse share with a male patient who calls the clinic and tells the nurse that over a 24-hour period he has taken two extra strength acetaminophen tablets (1000 mg) every 4 hours for a fever?

Match the intervention to its pathophysiologic cause.

Which temperature site is the nurse preparing to measure when using this piece of equipment?

When the nurse is reviewing medications, for which patients would the nurse need to notify the health care provider? Select all that apply

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