NSG 170 Thermoregulation Exam
Questions and Answers
The nurse expects a client with an elevated temp to exhibit which indicators of pyrexia?
dyspnea
flushed face
precordial pain
increased pulse rate
increased BP - ANS-flushed face
increased pulse rate
Which client body temps are indicative of moderate hypothermia?
80 F (26.7 C)
84 F (28.9 C)
88 F (31.1 C)
92 F (33.3 C)
96 F (35.6 C) - ANS-88 F (31.1 C)
92 F (33.3 C)
Which nursing intervention would the nurse provide to prevent heat loss in the neonate
immediately after birth?
bottle feeding immediately after birth
dressing newborn in shirt and gown immediately
bathing newborn in warm water ASAP
putting naked newborn on mothers bare chest - ANS-putting naked newborn on
mothers bare chest
which S/Sx are observed in the human body with a decrease in body temp?
shivering
profuse sweating
flushed appearance
dilation of blood vessels
contraction of blood vessels - ANS-shivering
contraction of blood vessels
, The nurse concludes that a client with a body temp of 98.6 F is experiencing which kind
of condition?
hypothermia
hyperpyrexia
hyperthermia
normothermia - ANS-normothermia
Which passive warming measures would the nurse use to promote warmth and comfort
of a client experiencing hypothermia?
warmed socks
radiant warmer
warm forced air
reflective blanket
humidified oxygen - ANS-warmed socks
reflective blanket
Which interventions are appropriate for the client brought to the hospital with heat
exhaustion?
salt tablets
0.9% normal saline IV
placing a moist sheet over client
initial fluid bolus to correct hypotension
placing in a cold area and removing constrictive clothing - ANS-0.9% normal saline IV
placing a moist sheet over client
initial fluid bolus to correct hypotension
placing in a cold area and removing constrictive clothing
Which action by the ED nurse is the priority for a client with heat stroke?
assess airway and breathing
administer diazepam to prevent shivering
apply ice packs to axilla, groin, head, and neck
ask client to state name and DOB - ANS-assess airway and breathing
A child is sent to the school nurse on a snowy, below freezing day because he arrived
w/out a coat, wearing shorts, a t-shirt, and sandals. Which is the first nursing
intervention?
provide warm liquid to drink
check child for frostbite
call CPS
ask child who helped him dress - ANS-check child for frostbite
Questions and Answers
The nurse expects a client with an elevated temp to exhibit which indicators of pyrexia?
dyspnea
flushed face
precordial pain
increased pulse rate
increased BP - ANS-flushed face
increased pulse rate
Which client body temps are indicative of moderate hypothermia?
80 F (26.7 C)
84 F (28.9 C)
88 F (31.1 C)
92 F (33.3 C)
96 F (35.6 C) - ANS-88 F (31.1 C)
92 F (33.3 C)
Which nursing intervention would the nurse provide to prevent heat loss in the neonate
immediately after birth?
bottle feeding immediately after birth
dressing newborn in shirt and gown immediately
bathing newborn in warm water ASAP
putting naked newborn on mothers bare chest - ANS-putting naked newborn on
mothers bare chest
which S/Sx are observed in the human body with a decrease in body temp?
shivering
profuse sweating
flushed appearance
dilation of blood vessels
contraction of blood vessels - ANS-shivering
contraction of blood vessels
, The nurse concludes that a client with a body temp of 98.6 F is experiencing which kind
of condition?
hypothermia
hyperpyrexia
hyperthermia
normothermia - ANS-normothermia
Which passive warming measures would the nurse use to promote warmth and comfort
of a client experiencing hypothermia?
warmed socks
radiant warmer
warm forced air
reflective blanket
humidified oxygen - ANS-warmed socks
reflective blanket
Which interventions are appropriate for the client brought to the hospital with heat
exhaustion?
salt tablets
0.9% normal saline IV
placing a moist sheet over client
initial fluid bolus to correct hypotension
placing in a cold area and removing constrictive clothing - ANS-0.9% normal saline IV
placing a moist sheet over client
initial fluid bolus to correct hypotension
placing in a cold area and removing constrictive clothing
Which action by the ED nurse is the priority for a client with heat stroke?
assess airway and breathing
administer diazepam to prevent shivering
apply ice packs to axilla, groin, head, and neck
ask client to state name and DOB - ANS-assess airway and breathing
A child is sent to the school nurse on a snowy, below freezing day because he arrived
w/out a coat, wearing shorts, a t-shirt, and sandals. Which is the first nursing
intervention?
provide warm liquid to drink
check child for frostbite
call CPS
ask child who helped him dress - ANS-check child for frostbite