Question 1

A nurse is working in the labor and delivery unit.What statement does the nurse understand is true regarding newborn thermogenesis?

Accepted Answer

A)  Shivering occurs when skin receptors perceive a drop in the environmental temperature and transmit sensations to stimulate the sympathetic nervous system.
B)  Shivering thermogenesis uses the newborn's stores of brown fat to provide heat.
C)  Brown fat produces heat generation,and heat transfer to the peripheral circulation.
D)  The extra muscular activity by the infant in cold stress produces a large amount of body heat.

Question 2

A hospitalized client with a body temperature of 104°F is entering the flush phase of the fever.Which action by the nurse is appropriate when providing care?

Accepted Answer

A)  Restricting fluids.
B)  Monitoring intake and output.
C)  Covering the client with warm blankets.
D)  Providing warmed intravenous fluids.

Question 3

The nurse assists with the examination of a newborn in the newborn nursery.Prior to placing the child on the exam table,she spreads a cotton pad over the surface.By doing so,the nurse is protecting against heat loss by which method?

Accepted Answer

A)  Convection
B)  Conduction
C)  Evaporation
D)  Radiation

Question 4

A client is experiencing an elevated temperature due to a viral illness.What should the nurse anticipate being included in this client's plan of care? Select all that apply.

Accepted Answer

A)  Administer warm intravenous fluids.
B)  Apply warm blankets.
C)  Keep limbs close to body.
D)  Increase fluid intake.
E)  Administer antipyretic medication.

Question 5

During an assessment,the nurse notes that a client who was a victim of an industrial accident has a mildly elevated body temperature.When discussing the client's increased temperature,which will the nurse attribute it to?

Accepted Answer

A)  Infection
B)  Diet
C)  Exercise
D)  Stress

Question 6

The nurse is caring for an older adult client who was admitted with pneumonia.The client's vital signs are: P 84,R 22,BP 118/74,T (oral) 98.3°F.The client asks the nurse to explain how she can have an infection without having a fever.How should the nurse respond?

Accepted Answer

A)  The cool temperature of the hospital room helps prevent fevers.
B)  The client was likely misdiagnosed and does not have an infection.
C)  The body's ability to respond to changes in temperature declines with age.
D)  The loss of body heat associated with pneumonia reduces the risk of fever.

Question 7

A client is admitted with a core body temperature of 93°F.Which action by the nurse is appropriate for this client?

Accepted Answer

A)  Apply warm soaks to the extremities.
B)  Use a hypothermia blanket.
C)  Provide warm fluids.
D)  Use warm blankets.

Question 8

The nurse is planning to instruct a new mother on ways to prevent hypothermia in her newborn.What should this teaching include?

Accepted Answer

A)  Expect the baby to shiver.
B)  Keep the newborn's head covered with a hat.
C)  Cover the newborn with a light sheet during afternoon naps.
D)  Cover the newborn with minimal blankets when out of doors in temperatures in the 50s.

Question 9

A young adult client is admitted to the emergency department with symptoms of hypothermia.Which data collected during the health history supports this diagnosis?

Accepted Answer

A)  The client was wearing a coat when the EMTs found him.
B)  The client had a blood alcohol level of 0.12.
C)  The client forgot to eat lunch.
D)  The client was wearing a winter hat at the time of admission.

Question 10

When flushing occurs in a client with a fever,what underlying mechanism to restore normal temperature is occurring?

Accepted Answer

A)  Increased metabolism
B)  Vasodilation
C)  Insensible water loss
D)  Increased thyroxine output

Question 11

Which hormone is responsible for epinephrine release and thus chemical thermogenesis?

Accepted Answer

A)  Norepinephrine
B)  Thyroxine
C)  Progesterone
D)  Aldosterone

Question 12

A client is admitted to the emergency department with a body temperature of 103°F.It is a hot and humid day,and the client works outside in the sun.Which actions by the nurse are appropriate when providing care to this client? Select all that apply.

Accepted Answer

A)  Use warm blankets.
B)  Restrict fluids.
C)  Apply cool washcloths to the face and neck.
D)  Assess vital signs.
E)  Remove or loosen clothing around the neck and chest.

Question 13

A nursing student is discussing thermoregulation with fellow students.Which statement about thermoregulation does the student recognize as being true?

Accepted Answer

A)  "Core temperature varies widely depending on the outside environment."
B)  "The body's surface temperature remains relatively constant."
C)  "Chemical thermogenesis occurs with the increase of cortisol."
D)  "All muscle activity,regardless of location,produces heat."

Question 14

The nurse is caring for a 73-year-old client.When assessing temperature,which finding would the nurse report immediately to the provider as a potential sign of sepsis?

Accepted Answer

A)  The client's temperature is below his baseline temperature.
B)  The client's temperature is above his baseline temperature.
C)  The client's temperature is at his baseline temperature.
D)  The client's temperature is fluctuating with each measurement.

Question 15

The nurse is caring for a client admitted with minor burns and elevated body temperature after being in a house fire.What should be included in this client's plan of care to address the elevated body temperature? Select all that apply.

Accepted Answer

A)  Providing blankets
B)  Keeping the room temperature warm
C)  Restricting fluids
D)  Encouraging fluids
E)  Lowering room temperature

Question 16

The nurse is caring for a client who presents to the emergency department after a boating accident in which the client nearly drowned.The nurse understands that which type of heat loss resulted in a diagnosis of hypothermia?

Accepted Answer

A)  Evaporation
B)  Insensible water loss
C)  Convection
D)  Insensible heat loss

Question 17

Why are interval vital sign measurements an important prevention measure for hyperthermia in the clinical setting?

Accepted Answer

A)  They are useful for monitoring for infection and inflammation.
B)  They are important for establishing a client's baseline temperature.
C)  They are essential to determining the cause of a fever of unknown origin.
D)  They are helpful for monitoring a client's reaction to antipyretics.

Exam 20: Thermoregulation

The nurse is caring for an older adult client who was admitted with pneumonia.The client's vital signs are: P 84,R 22,BP 118/74,T (oral) 98.3°F.The client asks the nurse to explain how she can have an infection without having a fever.How should the nurse respond?

Correct Answer
verified

Which hormone is responsible for epinephrine release and thus chemical thermogenesis?

Correct Answer
verified

A client is admitted with a core body temperature of 93°F.Which action by the nurse is appropriate for this client?

Correct Answer
verified

A client is experiencing an elevated temperature due to a viral illness.What should the nurse anticipate being included in this client's plan of care? Select all that apply.

Correct Answer
verified

When flushing occurs in a client with a fever,what underlying mechanism to restore normal temperature is occurring?

Correct Answer
verified

A nurse is working in the labor and delivery unit.What statement does the nurse understand is true regarding newborn thermogenesis?

Correct Answer
verified

The nurse is planning to instruct a new mother on ways to prevent hypothermia in her newborn.What should this teaching include?

Correct Answer
verified

The nurse assists with the examination of a newborn in the newborn nursery.Prior to placing the child on the exam table,she spreads a cotton pad over the surface.By doing so,the nurse is protecting against heat loss by which method?

Correct Answer
verified

The nurse is caring for a 73-year-old client.When assessing temperature,which finding would the nurse report immediately to the provider as a potential sign of sepsis?

Correct Answer
verified

A client is admitted to the emergency department with a body temperature of 103°F.It is a hot and humid day,and the client works outside in the sun.Which actions by the nurse are appropriate when providing care to this client? Select all that apply.

Correct Answer
verified

The nurse is caring for a client admitted with minor burns and elevated body temperature after being in a house fire.What should be included in this client's plan of care to address the elevated body temperature? Select all that apply.

Correct Answer
verified

Why are interval vital sign measurements an important prevention measure for hyperthermia in the clinical setting?

Correct Answer
verified

The nurse is caring for a client who presents to the emergency department after a boating accident in which the client nearly drowned.The nurse understands that which type of heat loss resulted in a diagnosis of hypothermia?

Correct Answer
verified

A young adult client is admitted to the emergency department with symptoms of hypothermia.Which data collected during the health history supports this diagnosis?

Correct Answer
verified

A nursing student is discussing thermoregulation with fellow students.Which statement about thermoregulation does the student recognize as being true?

Correct Answer
verified

During an assessment,the nurse notes that a client who was a victim of an industrial accident has a mildly elevated body temperature.When discussing the client's increased temperature,which will the nurse attribute it to?

Correct Answer
verified

A hospitalized client with a body temperature of 104°F is entering the flush phase of the fever.Which action by the nurse is appropriate when providing care?

Correct Answer
verified

Exam 20: Thermoregulation

The nurse is caring for an older adult client who was admitted with pneumonia.The client's vital signs are: P 84,R 22,BP 118/74,T (oral) 98.3°F.The client asks the nurse to explain how she can have an infection without having a fever.How should the nurse respond?

Correct AnswerverifiedShow Answer

Which hormone is responsible for epinephrine release and thus chemical thermogenesis?

Correct AnswerverifiedShow Answer

A client is admitted with a core body temperature of 93°F.Which action by the nurse is appropriate for this client?

Correct AnswerverifiedShow Answer

A client is experiencing an elevated temperature due to a viral illness.What should the nurse anticipate being included in this client's plan of care? Select all that apply.

Correct AnswerverifiedShow Answer

When flushing occurs in a client with a fever,what underlying mechanism to restore normal temperature is occurring?

Correct AnswerverifiedShow Answer

A nurse is working in the labor and delivery unit.What statement does the nurse understand is true regarding newborn thermogenesis?

Correct AnswerverifiedShow Answer

The nurse is planning to instruct a new mother on ways to prevent hypothermia in her newborn.What should this teaching include?

Correct AnswerverifiedShow Answer

The nurse assists with the examination of a newborn in the newborn nursery.Prior to placing the child on the exam table,she spreads a cotton pad over the surface.By doing so,the nurse is protecting against heat loss by which method?

Correct AnswerverifiedShow Answer

The nurse is caring for a 73-year-old client.When assessing temperature,which finding would the nurse report immediately to the provider as a potential sign of sepsis?

Correct AnswerverifiedShow Answer

A client is admitted to the emergency department with a body temperature of 103°F.It is a hot and humid day,and the client works outside in the sun.Which actions by the nurse are appropriate when providing care to this client? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is caring for a client admitted with minor burns and elevated body temperature after being in a house fire.What should be included in this client's plan of care to address the elevated body temperature? Select all that apply.

Correct AnswerverifiedShow Answer

Why are interval vital sign measurements an important prevention measure for hyperthermia in the clinical setting?

Correct AnswerverifiedShow Answer

The nurse is caring for a client who presents to the emergency department after a boating accident in which the client nearly drowned.The nurse understands that which type of heat loss resulted in a diagnosis of hypothermia?

Correct AnswerverifiedShow Answer

A young adult client is admitted to the emergency department with symptoms of hypothermia.Which data collected during the health history supports this diagnosis?

Correct AnswerverifiedShow Answer

A nursing student is discussing thermoregulation with fellow students.Which statement about thermoregulation does the student recognize as being true?

Correct AnswerverifiedShow Answer

During an assessment,the nurse notes that a client who was a victim of an industrial accident has a mildly elevated body temperature.When discussing the client's increased temperature,which will the nurse attribute it to?

Correct AnswerverifiedShow Answer

A hospitalized client with a body temperature of 104°F is entering the flush phase of the fever.Which action by the nurse is appropriate when providing care?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified