Nursing Care for Febrile and Hypothermic Clients

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20 Questions

What is the primary site of heat loss in the body?

Skin

Which process involves the dissemination of heat by motion between areas of unequal density?

Convection

What is the term for a person with a normal temperature?

Afebrile

Which condition is characterized by an upward displacement of the thermoregulatory set point in the hypothalamus?

Fever

At what temperature does a fever become a medical emergency, requiring rapid cooling to prevent brain damage?

$41 °C (106°F)

Which condition is characterized by a high body temperature but with no change in the hypothalamic set point?

Hyperthermia

What type of fever is the result of damage to the hypothalamus from pathologies such as intracranial trauma and increased intracranial pressure?

Neurogenic Fever

What is the defining temperature for Fever of Unknown Origin (FUO)?

38.3 °C (101 °F)

What is a potential complication of fever mentioned in the text?

Thirst

What treatment option is NOT recommended for managing fever, according to the text?

Antibiotic administration

What are the measures for nursing care for febrile clients?

Monitoring parameters, measures to lower temperature, provision of comfort, and preventing complications

What are the types of hypothermia mentioned in the text?

Intentional (induced) and unintentional (accidental)

What is the cause of hypothermia according to the text?

Failure of the body's compensatory physiologic responses to produce and retain heat

What conditions increase the risk of hypothermia according to the text?

Alcoholism, malnutrition, and hypothyroidism

What is the purpose of therapeutic hypothermia?

Purposeful lowering of core body temperature

What is the primary source of heat produced by various mechanisms in the body?

Epinephrine / norepinephrine

In which situations should vital signs be assessed, according to the guidelines provided?

Before and after administering medications affecting cardiovascular and respiratory function

What is the purpose of using an organized system to obtain vital signs at the same time?

To ensure consistent results

Which part of the body is considered to have a higher temperature than the surface temperature?

Intra-abdominal

What causes reduction of the surface area of skin available for heat loss?

Contraction of pilomotor muscles causing piloerection

This quiz covers nursing care for febrile clients, including monitoring parameters, measures to lower temperature, providing comfort, and preventing complications. It also discusses hypothermia, its types (intentional and unintentional), and nursing care focus. This content is based on Taylor, Lynn, & Bartlett, 10th edition, specifically on page 721.

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