18 Questions
What should a nurse do when a client with fever feels warm?
Remove excess blanket
What is NOT one of the cardinal signs of infection/inflammation to check for in a client with fever?
Dehydration
What is a recommended intake of fluids for a client with fever?
2.5 - 3 liters per day
When should a nurse reduce physical activity for a client with fever?
To limit heat production
What term is used to describe a client who does not have a fever?
Afebrile
Which of the following medications can be administered to reduce fever in a client?
Antipyretic medications
What is the purpose of providing oral hygiene to clients with fever?
To keep mucous membranes moist
What is the highest body temperature considered to be a very high fever?
41°C
Which of the following is a characteristic of the remittent type of fever?
Wide range of temperature fluctuations above normal over 24 hours
Which factor can contribute to decreased thermoregulatory control in older adults?
Decreased subcutaneous fat
How can stress affect body temperature?
Stress can increase metabolic activity and heat production.
What is the usual time of day when the body's temperature is at its highest point?
4-6 PM
What is the proper technique for taking a rectal temperature?
Apply clean gloves, instruct the client to take a slow deep breath during insertion, never force the thermometer if resistance is felt, and insert 1.5 inches in adults
How should the pinna (outer ear) be positioned for taking a tympanic temperature on an adult?
Pull the pinna slightly upward and backward
Which step is NOT included in the proper technique for taking a temporal artery temperature?
Lift the probe from the forehead and touch on the neck behind the earlobe, then release the button
What is the appropriate nursing intervention for a client with hypothermia?
Provide a warm environment, dry clothing, and warm oral or intravenous fluids
What is the proper technique for taking an axillary temperature?
Pat the axilla dry if very moist, do not brush hair aside, and place the tip of the thermometer in the center of the axilla
What is the formula for converting Celsius to Fahrenheit?
$°F = (°C \times 1.8) + 32$
Test your knowledge on nursing interventions for hypothermia including providing a warm environment, dry clothing, and applying warm blankets. Also, identify the parts of a thermometer such as rectal and tympanic, and learn about the proper procedure for each type.
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