Nursing Interventions for Hypothermia and Parts of a Thermometer Quiz

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What should a nurse do when a client with fever feels warm?

Provide extra warmth

Remove excess blanket (correct)

Administer antipyretic medications immediately

Increase physical activity

What is NOT one of the cardinal signs of infection/inflammation to check for in a client with fever?

Dehydration (correct)

Swelling

Pain

Redness

What is a recommended intake of fluids for a client with fever?

3.5 liters per day

2.5 - 3 liters per day (correct)

4 liters per day

1 liter per day

When should a nurse reduce physical activity for a client with fever?

To limit heat production Signup and view all the answers

What term is used to describe a client who does not have a fever?

Afebrile Signup and view all the answers

Which of the following medications can be administered to reduce fever in a client?

Antipyretic medications Signup and view all the answers

What is the purpose of providing oral hygiene to clients with fever?

To keep mucous membranes moist Signup and view all the answers

What is the highest body temperature considered to be a very high fever?

41°C Signup and view all the answers

Which of the following is a characteristic of the remittent type of fever?

Wide range of temperature fluctuations above normal over 24 hours Signup and view all the answers

Which factor can contribute to decreased thermoregulatory control in older adults?

Decreased subcutaneous fat Signup and view all the answers

How can stress affect body temperature?

Stress can increase metabolic activity and heat production. Signup and view all the answers

What is the usual time of day when the body's temperature is at its highest point?

4-6 PM Signup and view all the answers

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 Signup and view all the answers

How should the pinna (outer ear) be positioned for taking a tympanic temperature on an adult?

Pull the pinna slightly upward and backward Signup and view all the answers

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 Signup and view all the answers

What is the appropriate nursing intervention for a client with hypothermia?

Provide a warm environment, dry clothing, and warm oral or intravenous fluids Signup and view all the answers

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 Signup and view all the answers