Nursing Care for Febrile and Hypothermic Clients

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20 Questions

Which of the following is NOT a method of heat loss mentioned in the text?

Absorption

What is the primary site of heat loss according to the text?

Skin

What is the characteristic of neurogenic fever and fever of unknown origin (FUO) that distinguishes them from other types of fever?

They do not respond to antipyretic medications

Which of the following is NOT a potential complication of fever?

Increased pulse rate

What is the focus of nursing care for clients with febrile conditions?

Providing comfort measures

Which term is used to describe a body temperature greater than or equal to 41°C (106°F)?

Hyperpyrexia

What is the term for a person with a normal body temperature as described in the text?

Afebrile

What is an effective treatment for fever due to bacterial infection?

Treat the underlying cause with antibiotics

Which of the following is NOT a measure to lower body temperature in febrile clients?

Encouraging physical activity

In what situation does hyperthermia occur?

During extreme heat exposure or ineffective body temperature control mechanisms

What are the two types of hypothermia mentioned in the text?

Intentional and unintentional

What are some beneficial effects of fever?

Enhanced response by the immune system

What factors can increase the risk of hypothermia?

Chronic conditions like alcoholism

What method is NOT recommended for treating fever?

Ice baths

What is the purpose of therapeutic hypothermia?

To purposefully lower core body temperature

Why is it important to assess vital signs upon admission to a healthcare facility?

To establish a baseline for the client's health status.

What is the primary source of heat production in the body?

Epinephrine release

What does the hypothalamus do in relation to body temperature regulation?

Compares received messages with a set point and responds by producing or conserving heat.

What is the main purpose of goose bumps (piloerection) in terms of body temperature regulation?

To conserve heat by reducing the surface area available for heat loss.

Why is it essential to monitor vital signs as often as a patient's condition requires it?

To ensure timely interventions based on the patient's status.

Study Notes

Heat Loss and Regulation

  • Heat loss occurs through four methods: radiation, conduction, convection, and evaporation.
  • The primary site of heat loss is the skin.

Types of Fever

  • Neurogenic fever and fever of unknown origin (FUO) are characterized by an absence of a clear infectious cause.
  • Hyperpyrexia refers to a body temperature greater than or equal to 41°C (106°F).
  • A person with a normal body temperature is referred to as a normothermic individual.

Fever Treatment and Complications

  • An effective treatment for fever due to bacterial infection is antibiotics.
  • Potential complications of fever include dehydration, seizures, and cardiac arrest.
  • Cold baths or ice packs are not recommended for treating fever.

Hypothermia

  • Hypothermia occurs when the body's heat loss exceeds its heat production, causing a body temperature below 35°C (95°F).
  • There are two types of hypothermia: primary and secondary.
  • Factors that can increase the risk of hypothermia include age, dementia, and cardiovascular disease.

Body Temperature Regulation

  • The hypothalamus acts as the body's thermostat, regulating body temperature.
  • The primary source of heat production in the body is cellular metabolism.
  • Goose bumps (piloerection) help to reduce heat loss by trapping a layer of warm air next to the skin.

Nursing Care

  • The focus of nursing care for clients with febrile conditions is to monitor and manage their temperature, as well as prevent complications.
  • It is essential to monitor vital signs as often as a patient's condition requires it to detect any potential changes or complications.

Test your knowledge on nursing care for febrile and hypothermic clients, including monitoring parameters, lowering temperature, providing comfort, preventing complications, and focusing on intentional and unintentional hypothermia types.

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