Nursing Care for Febrile and Hypothermic Clients

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Questions and Answers

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

  • Muscles
  • Bones
  • Blood vessels
  • Skin (correct)

Which of the following is a method of heat loss by the dissemination of heat through electromagnetic waves?

  • Convection
  • Evaporation
  • Radiation (correct)
  • Conduction

What is considered a normal temperature range with a 0.5°F - 1°F variation from average?

  • 0.3°C – 0.5°C
  • 0.2°F – 0.7°F
  • 0.8°F – 1.2°F (correct)
  • 0.5°C – 1.5°C

Which term refers to an upward displacement of the thermoregulatory set point in the hypothalamus causing fever?

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

At what temperature does hyperpyrexia occur, requiring emergency cooling to prevent brain damage?

<p>&gt;41°C (106°F) (C)</p> Signup and view all the answers

What is the key reason why it is important to assess a baseline temperature in all patients?

<p>To identify unique manifestations of fever in older adults (D)</p> Signup and view all the answers

What characterizes Neurogenic Fever?

<p>Caused by damage to the hypothalamus from pathologies like brain injury or increased intracranial pressure (B)</p> Signup and view all the answers

How does hyperthermia differ from fever?

<p>Hyperthermia does not involve a change in the hypothalamic set point (D)</p> Signup and view all the answers

What are potential physical effects of fever?

<p>Headache, fatigue, and hot, dry skin (A)</p> Signup and view all the answers

What is a recommended treatment for fever?

<p>Treating the underlying cause and administering antipyretic drugs as prescribed (B)</p> Signup and view all the answers

What is the primary nursing focus for febrile clients?

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

Which type of hypothermia is induced purposefully?

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

What physiological response leads to hypothermia?

<p>Compensatory mechanisms to retain heat (C)</p> Signup and view all the answers

What population is at increased risk of hypothermia?

<p>Those with alcoholism (A)</p> Signup and view all the answers

At what body temperature level may death occur due to hypothermia?

<p>&lt; 32°C (A)</p> Signup and view all the answers

When should vital signs be assessed in a clinic setting?

<p>As often as a patient's condition requires it (B)</p> Signup and view all the answers

Which body temperature regulation mechanism involves the hypothalamus comparing messages received with a set point?

<p>Thermoregulatory set point (D)</p> Signup and view all the answers

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

<p>Epinephrine / norepinephrine (C)</p> Signup and view all the answers

What causes piloerection, also known as goose bumps, to reduce the surface area of skin available for heat loss?

<p>Contraction of pilomotor muscles (D)</p> Signup and view all the answers

Which scenario would warrant assessing vital signs based on the information provided?

<p>A patient undergoing an invasive diagnostic procedure (A)</p> Signup and view all the answers

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