Nursing Care for Fever Management
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Questions and Answers

What is the medical term used for an elevated body temperature?

Pyrexia, hyperthermia or fever

What is the medical term for a very high fever?

Hyperpyrexia

What are the common signs and symptoms of fever?

Increased heart and respiratory rate, shivering, complaints of feeling cold, rise in body temperature, warm skin, increased thirst, drowsiness, weakness, convulsions, loss of appetite, sweating, possible dehydration

What are some nursing interventions for clients with fever?

<p>Monitor vital signs, assess skin color and temperature, monitor white blood cell count, remove excess blankets when the client feels warm but provide extra warmth when the client feels chilled, provide adequate food and fluids, measure intake and output, reduce physical activity, administer antipyretics as ordered, provide oral hygiene to keep the mucous membrane moist, provide a tepid bath, provide dry clothing and bed linens</p> Signup and view all the answers

Fever is always caused by infection.

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

What condition is characterized by a dangerous heat emergency due to prolonged exposure to the sun or high environmental temperatures, which can depress the hypothalamic function?

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

Which of the following are signs and symptoms of heat stroke? (Select all that apply)

<p>Visual disturbances (A), Muscle cramps (B), Excess thirst (C), Confusion (D), Nausea (F), Incontinence (G), Hot, dry skin (H)</p> Signup and view all the answers

What are some first aid measures for victims with heat stroke? (Select all that apply)

<p>Reducing the clothing covering the body (A), Giving the victim cold fluids to drink (B), Using oscillating fans (C), Moving the client to a cooler environment (D), Placing wet towels over the skin (E)</p> Signup and view all the answers

What is the condition characterized by a decrease in body temperature below the normal range, often caused by exposure to cold?

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

Which of the following are signs and symptoms of hypothermia? (Select all that apply)

<p>Decreased heart rate and respiration (B), Cold, pale skin (C), Uncontrolled shivering (E), Cyanotic skin (F), Depression and poor judgment (G)</p> Signup and view all the answers

What are some first aid measures for patients with hypothermia? (Select all that apply)

<p>Remove wet clothes (A), Wrap the client in blankets (C), Place heating pads next to the area of the body (D), Place the client near a fire or in a warm room (E), Give warm fluids to drink (F)</p> Signup and view all the answers

Flashcards

Pyrexia

A body temperature above the normal range.

Hyperpyrexia

A very high fever, usually above 41°C.

Fever Cause

Usually caused by pyrogens like bacteria.

Fever Signs

Increased heart rate, breathing, shivering, complaints of being cold, warm skin, thirst, drowsiness, weakness, loss of appetite, sweating, and possible dehydration.

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Fever Monitoring

Vital sign monitoring, skin assessment, white blood cell count assessment.

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Fever Interventions

Providing warmth or cool compresses, fluids, and reducing overexertion, and administering antipyretics.

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Heat Stroke

Dangerous condition due to prolonged exposure to high temperatures.

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Heat Stroke Signs

Confusion, delirium, excess thirst, nausea, muscle cramps, visual disturbances, hot dry skin, and incontinence.

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Heat Stroke First Aid

Move to a cooler area, remove clothing, apply cool compresses, use fans, and seek medical attention.

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Hypothermia

A condition where body temperature drops below normal.

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Hypothermia Types

Mild (34-35°C), Moderate (30-33.8°C), Severe (>30°C).

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Hypothermia Signs

Shivering, poor judgement, cold pale skin, decreased heart rate, respiration, cyanosis, cardiac dysrhythmia, loss of consciousness and unresponsiveness.

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Hypothermia First Aid

Remove wet clothing, apply blankets, provide warm fluids, move to a warm room, and use heating pads if needed.

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Study Notes

Alterations in Body Temperature

  • Pyrexia (Hyperpyrexia): A body temperature above normal range (fever). A very high fever (e.g., 41°C) is called hyperpyrexia. Fever is usually caused by pyrogens (e.g., bacteria).

Clinical Signs of Fever

  • Increased heart and respiratory rate
  • Shivering
  • Complaints of feeling cold
  • Rise in body temperature
  • Warm skin
  • Increased thirst
  • Drowsiness, weakness, and convulsions
  • Loss of appetite
  • Sweating
  • Possible dehydration

Nursing Interventions for Clients with Fever

  • Monitor vital signs
  • Assess skin color and temperature
  • Monitor white blood cell count
  • Remove excess blankets when client feels warm, but provide extra warmth if client feels chilled
  • Provide adequate food and fluids (e.g., 2500-3000 mL per day)
  • Measure intake and output
  • Reduce physical activity

Further Management of Fever

  • Administer antipyretics as ordered
  • Provide oral hygiene to maintain moist mucous membranes
  • Provide a tepid bath
  • Provide dry clothing and bed linens

Heat Stroke

  • Dangerous heat emergency due to prolonged sun exposure or high environmental temperatures.
  • This depresses hypothalamic function.

Signs and Symptoms of Heat Stroke

  • Confusion/delirium
  • Excessive thirst
  • Nausea
  • Muscle cramps
  • Visual disturbances
  • Hot, dry skin
  • Incontinence

First Aid for Heat Stroke Victims

  • Move to a cooler environment
  • Reduce clothing
  • Apply wet towels (room temperature tap water) to skin
  • Use oscillating fans

Additional Heat Stroke Interventions

  • Use a fan to lower temperature
  • Apply cold compresses
  • Have victim lie down
  • Elevate feet
  • Have victim drink fluids
  • Bring to nearest health facility for further management

Hypothermia

  • Decrease in body temperature below normal range. Occurs when body is exposed to cold; typically develops gradually.

Classifications of Hypothermia

  • Mild: 34-35°C
  • Moderate: 30-33.8°C
  • Severe: >30°C

Signs and Symptoms of Hypothermia

  • Uncontrolled shivering
  • Depression and poor judgment
  • Cold, pale skin
  • Decreased heart rate and respiration
  • Cyanotic skin
  • If severe, cardiac dysrhythmia, loss of consciousness, and unresponsiveness to stimuli.

First Aid for Hypothermia Victims

  • If wet, remove wet clothes and replace with dry ones.
  • Wrap client in blankets
  • Give hot fluids to drink
  • Place client near a fire or warm room
  • Place heating pads near affected body areas

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Description

This quiz focuses on the nursing interventions and clinical signs associated with fever, or pyrexia. It covers vital monitoring and management strategies for clients exhibiting elevated body temperatures. Understanding these concepts is crucial for providing effective patient care in clinical settings.

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