Sherpath CH 29- Temp; WK 3
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Questions and Answers

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.

    <p>3</p> Signup and view all the answers

    Which factors affect body temperature? Select all that apply.

    <p>Stress</p> Signup and view all the answers

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

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

    Match the characteristic with the correct temperature assessment site.

    <p>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</p> Signup and view all the answers

    Which temperature range is expected for an adult patient?

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

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

    <p>Toes</p> Signup and view all the answers

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

    <p>Rapid heart rate</p> Signup and view all the answers

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

    <p>Results of white blood cell count</p> Signup and view all the answers

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

    <p>Presence of infection</p> Signup and view all the answers

    Which patient would the nurse assess first?

    <p>One with heatstroke</p> Signup and view all the answers

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

    <p>Select solutions.</p> Signup and view all the answers

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

    <p>Hot soup</p> Signup and view all the answers

    Match the intervention with its mechanism of action.

    <p>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</p> Signup and view all the answers

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

    <p>Ice packs</p> Signup and view all the answers

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

    <p>Lower the hypothalamus set-point</p> 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?

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

    Match the mechanism of heat loss to its intervention.

    <p>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</p> 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

    <p>Drowsiness</p> Signup and view all the answers

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

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

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

    <p>“Rectal temperature readings are avoided for infants.”</p> 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?

    <p>Touch the patient’s skin.</p> Signup and view all the answers

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

    <p>Administer antipyretic. = 5 Reassess temperature to evaluate care for Fever. = 6 Develop expected outcomes&amp; Select solutions for Fever. = 3 &amp;4 Gather cues from the temperature assessment &amp; Analyze cues to determine hypothesis of Fever. = 1 &amp;2</p> 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?

    <p>Administer prescribed warmed intravenous fluids.</p> 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?

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

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

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

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

    <p>Decrease stress level.</p> Signup and view all the answers

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

    <p>15-year-old: 100°F (37.8°C)</p> 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?

    <p>“Do not give the medication.”</p> Signup and view all the answers

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

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

    Match each condition with its proper definition.

    <p>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</p> Signup and view all the answers

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

    <p>Temperature increases.</p> 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.

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

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

    <p>Temperature increases.</p> Signup and view all the answers

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

    <p>Pull the pinna up and back.</p> 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?

    <p>Recognize this is an expected finding.</p> 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?

    <p>This is too much acetaminophen.</p> Signup and view all the answers

    Match the intervention to its pathophysiologic cause.

    <p>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</p> Signup and view all the answers

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

    <p>Temporal</p> 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

    <p>Patient with liver disease who is receiving acetaminophen</p> Signup and view all the answers

    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.

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