Fever and Temperature Readings

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Questions and Answers

What core body temperature, measured rectally, defines a fever?

  • Greater than 39°C
  • Greater than 38°C (correct)
  • Greater than 38.5°C
  • Greater than 37.5°C

At what temperature does the risk of brain damage become significant due to fever?

  • 107°F (correct)
  • 110°F
  • 102°F
  • 104°F

Which method of temperature measurement is considered the most accurate?

  • Oral
  • Tympanic
  • Axillary
  • Rectal (correct)

Which statement best describes the relationship between the severity of an illness and the height of a fever?

<p>The severity of an illness does not always correlate to the temperature. (A)</p> Signup and view all the answers

A parent calls concerned because their 2-year-old has a fever of 100.8°F. What is the most appropriate initial advice?

<p>Toddlers can normally run high temperatures, monitor for other symptoms. (A)</p> Signup and view all the answers

Why is taking a rectal temperature not recommended in young infants?

<p>The content does not mention specifically why it is not performed. (B)</p> Signup and view all the answers

Under what circumstances is it generally agreed that fevers should always be treated?

<p>When the patient is uncomfortable or has underlying medical conditions. (C)</p> Signup and view all the answers

Which age group is most appropriate for taking oral temperatures?

<p>Children over 4-5 years old (D)</p> Signup and view all the answers

A child presents with a fever of 103°F and is also lethargic and difficult to arouse. Which action is most appropriate?

<p>Seek immediate medical attention (B)</p> Signup and view all the answers

Which temperature measurement method is generally considered the least accurate for detecting fever?

<p>Axillary (D)</p> Signup and view all the answers

What is a primary reason why fever is one of the most common reasons for office visits?

<p>Fevers are a common symptom that often prompts concern. (C)</p> Signup and view all the answers

A 6-month-old infant has a fever and the parent is asking for guidance on how to take their temperature. What should you advise against?

<p>Using an oral thermometer. (A)</p> Signup and view all the answers

How does a toddler's normal temperature range differ from that of an adult regarding fever definition?

<p>Toddlers can normally tolerate temperatures slightly higher than what defines a fever in adults. (C)</p> Signup and view all the answers

If a child has a fever but is otherwise active, playful, and eating well, what is the most appropriate initial step?

<p>Monitor the child closely without necessarily treating the fever (C)</p> Signup and view all the answers

Which factor is least important when determining the need to treat a fever in a child?

<p>The specific number/degree of the temperature (B)</p> Signup and view all the answers

What action should be prioritized when a young child presents with a fever accompanied by seizure activity?

<p>Ensure the child's safety and seek emergency medical attention. (B)</p> Signup and view all the answers

What is a key difference in fever management between infants and older children?

<p>Some methods of measuring temperature are not appropriate for young infants. (D)</p> Signup and view all the answers

A parent is concerned about the potential for brain damage from a fever. What information is most reassuring?

<p>Brain damage from fever is rare and requires extremely high temperatures. (A)</p> Signup and view all the answers

When assessing a child with a fever, which of the following symptoms would be most concerning and warrant immediate medical evaluation?

<p>Decreased urine output and lethargy. (A)</p> Signup and view all the answers

What should be advised against while taking a temperature on an infant?

<p>Oral measurement. (C)</p> Signup and view all the answers

Which method of temperature measurement is LEAST likely to be affected by external factors like ambient temperature?

<p>Rectal (B)</p> Signup and view all the answers

A 3-year-old has a temperature of 102.5°F but is playing and interacting normally. The parent is anxious about febrile seizures. What is the most appropriate counseling?

<p>Reassure that most febrile seizures are harmless. (A)</p> Signup and view all the answers

Which statement best illustrates the role of fever as a defense mechanism?

<p>Fever can enhance the body's immune response. (A)</p> Signup and view all the answers

A child has a history of febrile seizures. Which of the following is the most appropriate advice for managing future fevers?

<p>Aggressively treat all fevers with antipyretics. (B)</p> Signup and view all the answers

In which clinical scenario is obtaining a rectal temperature most justified despite its unpopularity?

<p>When you are concerned that other methods of readings are inaccurate (C)</p> Signup and view all the answers

When might a clinician choose NOT to treat a fever in a child?

<p>When the child has a mild fever and is otherwise well-appearing. (D)</p> Signup and view all the answers

Which of the following statements regarding fever is most accurate?

<p>The severity of an illness does not always correlate to the temperature. (B)</p> Signup and view all the answers

When a child has a fever, what is the primary goal of antipyretic treatment?

<p>To make the child more comfortable. (D)</p> Signup and view all the answers

What is the single most important factor in deciding whether or not to treat a fever?

<p>The presence of other associated symptoms. (D)</p> Signup and view all the answers

A parent is using a home thermometer to check the temperature of their child who is 3 months old. What is the most important instruction to provide regarding the thermometer?

<p>Clean the thermometer thoroughly after each use. (C)</p> Signup and view all the answers

For a child with a fever, which scenario necessitates immediate medical attention regardless of the temperature?

<p>The child is lethargic and difficult to awaken. (C)</p> Signup and view all the answers

What is a critical piece of information when counseling parents about managing a child’s fever at home?

<p>Rest and adequate fluid intake support the body's defense mechanisms. (B)</p> Signup and view all the answers

A 5-year-old who can reliably report symptoms has a temperature of 101.5°F. Which approach aligns best with current guidelines?

<p>Assess the child's overall condition and treat based on discomfort. (B)</p> Signup and view all the answers

An infant has a fever, and the care provider suspects a viral infection. What is the most appropriate course of action?

<p>Supportive care and further evaluation to rule out serious bacterial illness. (C)</p> Signup and view all the answers

A child had a fever that went away after administering medication, but then returns. How should you respond?

<p>Reappearance of fever is a common response and can be monitored closely. (D)</p> Signup and view all the answers

A parent is concerned about the potential for brain damage from a fever. What information is most accurate.

<p>Brain damage from fever is unlikely unless the fever exceeds 107°F. (A)</p> Signup and view all the answers

When is it not necessary to treat a fever?

<p>When there is no discomfort. (C)</p> Signup and view all the answers

Which of the following is not appropriate for young infants to check their temperature?

<p>Oral (A)</p> Signup and view all the answers

Flashcards

Fever Definition

A core body temperature (rectal) greater than 38°C or 100.4°F.

Fever and Illness Severity

Although high fevers are concerning, the severity of illness isn't always directly related to the temperature reading.

Rectal Temperature

The most accurate method, but often disliked, especially for children.

Oral Temperature

Suitable for children over 4-5 years old who can hold the thermometer properly.

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Axillary, Forehead, Tympanic Temperatures

Methods less precise than rectal or oral, especially in young infants.

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Toddler Fevers

High fevers in toddlers aren't always cause for alarm. A temp of 101 F may be normal.

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Study Notes

  • Fever is defined as a core body (rectal) temperature exceeding 38°C (100.4°F).
  • Toddlers can normally have high fevers, around 101°F.
  • Brain damage can occur if the body temperature rises above 107°F.
  • Fever is one of the most common reasons for office visits.
  • The severity of an illness is not always directly related to the height of the fever.
  • Treating fevers is not always necessary.

Temperature Checking Locations

  • Rectal temperature readings are the most accurate but are also the most disliked method.
  • Oral temperature readings can be taken in children older than 4-5 years.
  • Axillary (armpit), forehead, and tympanic (ear) temperature readings are less accurate.
  • Taking temperatures in young infants should not be done (the method is not specified in the text).

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