RNSG 1430 Thermoregulation questions with verified
answers
-absence of respiration
-ventricular fibrillation (rapid/inadequate heartbeat)
-dilated and unresponsive pupils
-coma Ans✓✓✓ What are signs of severe Hypothermia?
-age
-damage to hypothalamus
-decreased ability to shiver
-decreased basal metabolic rate (BMI)
-evaporation
-exposure to cool environment
-acute or chronic illnesses
-inactivity
-malnutrition
-meds
-trauma
-hypothyroidism Ans✓✓✓ What are the risk factors for Hypothermia?
-body temp
-cool skin
-cyanotic nail beds, slow capillary refill
-BP
,-pallor
-piloerection (hair sticking up, goosebumps) and shivering
-tachycardia Ans✓✓✓ What would the nurse assess if someone had
hypothermia?
-Cardiovascular collapse (hypo/hyper)
-Nervous system damage (hyper)
-Dehydration and Hyponatremia (hyper)
-Peripheral tissue ischemia (hypo); tissue damage from poor circulation or tissue
damage, can cause loss of digits. Ans✓✓✓ What are some negative
consequences that can occur with Thermoregulation imbalance?
-client's fever is effectively managed w/antipyretics
-client manages adequate hydration AEB skin turgor, moist mucous membrane, &
hematocrit w/in normal range Ans✓✓✓ What would a nurse want an evaluation
to be for someone who had Hyperthermia?
-CNS dysfunction: confusion, delirium, bizarre behavior, or coma
-temp >40 C (105 F)
-hot, dry skin
-anhidrosis (absence of sweat)
-tachypnea (rapid breathing)
-hypotension
-tachycardia (rapid heart beat) Ans✓✓✓ What are some clinical manifestations
of Heat Stroke?
, -depressed mental state and respiration
-no shivering
-slow pulse/irregular heart rate
-hypotension
-pale or cyanotic skin
-hallucinations
-coma Ans✓✓✓ What are signs of moderate Hypothermia?
-dialysis for renal failure
-antiseizure meds to control seizures
-benzodiazepines to suppress seizures
-potassium for hypokalemia
-sodium bicarbonate to correct metabolic acidosis
also:
-patient education so as to prevent recurrence Ans✓✓✓ What are some
supporting care that a nurse can do for someone who is experiencing Heat
stroke?
-exposure to cold environment
-immersed in cold water
-lack of adequate clothing, shelter, or heat
-associated with near drowning
Also caused by:
answers
-absence of respiration
-ventricular fibrillation (rapid/inadequate heartbeat)
-dilated and unresponsive pupils
-coma Ans✓✓✓ What are signs of severe Hypothermia?
-age
-damage to hypothalamus
-decreased ability to shiver
-decreased basal metabolic rate (BMI)
-evaporation
-exposure to cool environment
-acute or chronic illnesses
-inactivity
-malnutrition
-meds
-trauma
-hypothyroidism Ans✓✓✓ What are the risk factors for Hypothermia?
-body temp
-cool skin
-cyanotic nail beds, slow capillary refill
-BP
,-pallor
-piloerection (hair sticking up, goosebumps) and shivering
-tachycardia Ans✓✓✓ What would the nurse assess if someone had
hypothermia?
-Cardiovascular collapse (hypo/hyper)
-Nervous system damage (hyper)
-Dehydration and Hyponatremia (hyper)
-Peripheral tissue ischemia (hypo); tissue damage from poor circulation or tissue
damage, can cause loss of digits. Ans✓✓✓ What are some negative
consequences that can occur with Thermoregulation imbalance?
-client's fever is effectively managed w/antipyretics
-client manages adequate hydration AEB skin turgor, moist mucous membrane, &
hematocrit w/in normal range Ans✓✓✓ What would a nurse want an evaluation
to be for someone who had Hyperthermia?
-CNS dysfunction: confusion, delirium, bizarre behavior, or coma
-temp >40 C (105 F)
-hot, dry skin
-anhidrosis (absence of sweat)
-tachypnea (rapid breathing)
-hypotension
-tachycardia (rapid heart beat) Ans✓✓✓ What are some clinical manifestations
of Heat Stroke?
, -depressed mental state and respiration
-no shivering
-slow pulse/irregular heart rate
-hypotension
-pale or cyanotic skin
-hallucinations
-coma Ans✓✓✓ What are signs of moderate Hypothermia?
-dialysis for renal failure
-antiseizure meds to control seizures
-benzodiazepines to suppress seizures
-potassium for hypokalemia
-sodium bicarbonate to correct metabolic acidosis
also:
-patient education so as to prevent recurrence Ans✓✓✓ What are some
supporting care that a nurse can do for someone who is experiencing Heat
stroke?
-exposure to cold environment
-immersed in cold water
-lack of adequate clothing, shelter, or heat
-associated with near drowning
Also caused by:
