Podcast
Questions and Answers
Which part of the brain maintains a consistent internal body temperature despite environmental extremes?
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 internal process provides the primary source of heat production?
Which mechanisms primarily enhance heat loss from the body?
Select all that apply.
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.
Infants under the age of ___ months have immature regulatory thermoregulation systems. Record answer as a whole number. Use numbers only.
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Which factors affect body temperature?
Select all that apply.
Which factors affect body temperature? Select all that apply.
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Which assessment question would the nurse ask a patient prior to measuring temperature?
Which assessment question would the nurse ask a patient prior to measuring temperature?
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Match the characteristic with the correct temperature assessment site.
Match the characteristic with the correct temperature assessment site.
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Which temperature range is expected for an adult patient?
Which temperature range is expected for an adult patient?
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Which areas of the human body are most vulnerable to frostbite?
Select all that apply.
Which areas of the human body are most vulnerable to frostbite? Select all that apply.
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Which cues would the nurse likely observe in a patient who has hyperthermia?
Select all that apply.
Which cues would the nurse likely observe in a patient who has hyperthermia? Select all that apply.
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Which cues related to thermoregulation can be found in the medical record?
Select all that apply.
Which cues related to thermoregulation can be found in the medical record? Select all that apply.
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Which cues would prompt the nurse to select Fever as a hypothesis?
Select all that apply.
Which cues would prompt the nurse to select Fever as a hypothesis? Select all that apply.
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Which patient would the nurse assess first?
Which patient would the nurse assess first?
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Which action would the nurse take after developing outcomes for a patient with a fever?
Which action would the nurse take after developing outcomes for a patient with a fever?
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Which items would the nurse offer to a patient with a low body temperature?
Select all that apply.
Which items would the nurse offer to a patient with a low body temperature? Select all that apply.
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Match the intervention with its mechanism of action.
Match the intervention with its mechanism of action.
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Which nonpharmacologic interventions lower a patient’s fever?
Select all that apply.
Which nonpharmacologic interventions lower a patient’s fever? Select all that apply.
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Which mechanism of action would lower a patient’s temperature when taking antipyretics?
Which mechanism of action would lower a patient’s temperature when taking antipyretics?
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Which statement from the nurse indicates a correct interpretation of a higher temperature at 1830 when compared to the temperature at 1600?
Which statement from the nurse indicates a correct interpretation of a higher temperature at 1830 when compared to the temperature at 1600?
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Match the mechanism of heat loss to its intervention.
Match the mechanism of heat loss to its intervention.
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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 cues would the nurse likely observe in a patient who has a temperature of 92°F (33.3°C)? Select all that apply
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Which patient would the nurse monitor closely for alterations in temperature control?
Which patient would the nurse monitor closely for alterations in temperature control?
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Which statements from the nurse indicate a correct understanding of assessment sites for temperature?
Which statements from the nurse indicate a correct understanding of assessment sites for temperature?
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Which action would the nurse take immediately after assessing a patient’s temperature to determine whether the patient has heat exhaustion or heatstroke?
Which action would the nurse take immediately after assessing a patient’s temperature to determine whether the patient has heat exhaustion or heatstroke?
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Place the steps in order when caring for a patient who is febrile.
Place the steps in order when caring for a patient who is febrile.
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Which interventions would the nurse select for a patient with hypothermia who was rescued from drowning in a freezing river?
Which interventions would the nurse select for a patient with hypothermia who was rescued from drowning in a freezing river?
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Which action by the nurse supports the hypothesis of Hypothermia when the patient presents with decreased respirations, cool skin, and low body temperature?
Which action by the nurse supports the hypothesis of Hypothermia when the patient presents with decreased respirations, cool skin, and low body temperature?
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Which statement from the nurse indicates appropriate clinical judgment in choosing a temperature assessment site?
Which statement from the nurse indicates appropriate clinical judgment in choosing a temperature assessment site?
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Which actions would the nurse take for a patient who has a fever?
Select all that apply
Which actions would the nurse take for a patient who has a fever? Select all that apply
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Which patient temperature measurements would cause the nurse to intervene?
Select all that apply
Which patient temperature measurements would cause the nurse to intervene? Select all that apply
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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 instruction will the nurse give the parent who asks how much aspirin should be given to a 3-year-old with a viral infection?
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Which outcome would the nurse develop for a patient who is afebrile?
Which outcome would the nurse develop for a patient who is afebrile?
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Match each condition with its proper definition.
Match each condition with its proper definition.
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Which cues alert the nurse a patient with hypothermia is improving?
Select all that apply
Which cues alert the nurse a patient with hypothermia is improving? Select all that apply
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Place the patients in the order in which the nurse would prioritize their care from highest priority to lowest priority.
Place the patients in the order in which the nurse would prioritize their care from highest priority to lowest priority.
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Which cues alert the nurse that a patient with hyperthermia is declining? Select all that apply
Which cues alert the nurse that a patient with hyperthermia is declining? Select all that apply
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Which action would the nurse take when measuring the tympanic temperature of a 5-year-old?
Which action would the nurse take when measuring the tympanic temperature of a 5-year-old?
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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 action would the nurse take when the unlicensed assistive personnel (UAP) reports an adult patient has a 99.5°F (37.5°C) temperature?
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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?
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?
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Match the intervention to its pathophysiologic cause.
Match the intervention to its pathophysiologic cause.
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Which temperature site is the nurse preparing to measure when using this piece of equipment?
Which temperature site is the nurse preparing to measure when using this piece of equipment?
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When the nurse is reviewing medications, for which patients would the nurse need to notify the health care provider? Select all that apply
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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Study Notes
Body Temperature Regulation
- The hypothalamus regulates the body's internal temperature, maintaining homeostasis amidst environmental changes.
- Metabolism is the primary source of heat production in the body.
- Mechanisms enhancing heat loss include radiation, conduction, convection, and evaporation.
Infant Thermoregulation
- Infants under the age of 3 months have immature thermoregulation systems.
Factors Affecting Body Temperature
- Key factors include age, physical activity, menstrual cycle, time of day, and environmental temperature.
Patient Assessment Prior to Temperature Measurement
- Nurses should ask about any history of fever, recent infections, or medications that might influence temperature.
Temperature Assessment Sites
- Common sites include oral, rectal, axillary, and tympanic, each providing different temperature ranges.
Expected Temperature Range in Adults
- The normal body temperature range for adults is typically 97°F to 100.4°F (36.1°C to 38°C).
Areas Vulnerable to Frostbite
- Fingers, toes, nose, and ears are most susceptible to frostbite.
Observations in Hyperthermia
- Cues may include flushed skin, elevated heart rate, confusion, and excessive sweating.
Cues in Medical Records
- Signs may include temperature readings, symptoms of infection, and previous treatment history.
Indicators of Fever Hypothesis
- Cues prompting a fever hypothesis include elevated temperature, chills, and signs of infection.
Patient Priority Assessment
- A patient exhibiting the most severe symptoms or highest temperature should be assessed first.
Post-Fever Outcome Development
- After developing outcomes, the nurse should monitor temperature regularly and document changes.
Interventions for Low Body Temperature
- Items include warm blankets, warm fluids, and heated environments.
Nonpharmacologic Fever Reduction
- Options include cool baths, promoting hydration, and removing excess clothing.
Mechanism of Action for Antipyretics
- Antipyretics reduce fever by inhibiting prostaglandin synthesis in the hypothalamus.
Temperature Comparison
- A higher temperature observed later indicates a progression of fever or worsening condition.
Heat Loss Mechanisms
- Mechanisms such as sweating and vasodilation are associated with interventions like cool compresses.
Observations in Hypothermia
- Indicators may include shivering, confusion, slow heart rate, and cold skin.
Monitoring for Temperature Control Alterations
- Patients with cardiac conditions or those exposed to extreme temperatures require close monitoring.
Temperature Assessment Site Understanding
- Accurate interpretation of temperature varies by site; nurses must understand each method's significance.
Immediate Actions Post-Temperature Assessment
- Assess hydration status and check for heat exhaustion or heatstroke symptoms.
Steps for Caring for Febrile Patients
- Actions like administering antipyretics, encouraging fluid intake, and monitoring vital signs are essential.
Hypothermia Interventions
- Rescuing procedures include rewarming strategies and covering with dry clothing.
Assessment Indicators in Hypothermia
- Improvement may be identified through increased alertness, stable vital signs, and warming skin.
Care Prioritization
- Rank patients by condition severity to ensure those needing immediate attention receive it first.
Signs of Decline in Hyperthermia
- Observations may include increased heart rate, altered mental status, and high body temperature.
Tympanic Temperature Measurement in Children
- Use appropriate sizing equipment, position the child correctly, and follow precise techniques.
Response to Reporting Temperature
- If an adult has a low-grade fever, monitor for additional signs before reporting.
Patient Educating on Acetaminophen
- Advise on safe dosages, potential interactions, and adherence to recommended dosage guidelines.
Medication Review for Nurses
- Notify providers of potential drug interactions or changes in patient status that may affect medication efficacy.
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Description
This quiz explores the role of the brain in maintaining internal body temperature despite varying environmental conditions. It examines how specific brain regions contribute to thermoregulation and overall homeostasis. Test your knowledge on the fascinating connections between brain function and temperature control.