Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Semester Two - Nursing 112 > Fever > Flashcards

Fever Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Pharmacology flashcards NCLEX-RN® flashcards Nursing Mental Health flashcards Nursing Fundamentals flashcards Nursing Safety & Infection flashcards Nursing Adult Health flashcards NCLEX-PN® flashcards Nursing Management of Care flashcards Nursing Pediatrics flashcards Nursing Maternity flashcards
1
Q

Fever

A

An elevation in the set point of the body’s temperature.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is temperature homeostasis controlled by?

A

anterior portion of the hypothalamus, which acts as a thermostat that sets the body’s target temperature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Definition Ineffective Thermoregulation

A

Temperature fluctuation between hypothermia and hyperthermia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Defining Characteristics Ineffective Thermoregulation

A

cool skin, cyanotic nail beds, fluctuations of body temp above or below normal, flushed skin, seizures, piloerection, shivering, increased RR and HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why would antibiotics be prescribed for fever?

A

Used for the bacterial cause of a fever.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Peak Level

A

measures highest concentration of medication in the plasma, drawn 30-60 minutes after dose administered, done after several doses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Trough Level

A

Measures the lowest concentration of the medication in plasma, drawn immediately prior to next dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Antipyretics

A

Inhibit synthesis of prostaglandins, lowers the set point, and reduces discomfort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Peak & Trough levels

A

provides information to the healthcare team about the effectiveness and toxicity of a drug in the plasma. it monitors for therapeutic and toxic levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

TNIs Fever

A

monitor VS, assess skin color and skin T, monitor WBC, HCT, and other pertinent values for indications of infection, dehydration, remove excess blankets when client warm and provide extra warmth when client chilled, provide adequate nutrition and fluids to meet increase metabolic needs and prevent dehydration, measure I & O, administer order antipyretics, provide tepid sponge bath and oral hygiene, reduce physical activity to limit heat production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Septicemia

A

Presence of pathogenic microorganisms in the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Reye Syndrome

A

acute encephalopathy of unknown cause in children under the age of 15 after a viral illness. Thought to be associated with the use of aspirin during a viral illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cooling Blanket

A

Commercially available cooling device used to reduce body temperature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Fever of Unknown Origin (FUO)

A

Fever exceeding 101F on several occasions with unknown cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

TNI cooling blanket

A

place blanket on bed and cover with sheet or lightweight blanket, frequent temperature monitoring is necessary to avoid excessive cooling of the body, assess patient comfort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Nursing Responsibilities for Peak and Trough levels

A

obtain blood sample, check sample results, notify MD and administer medication on a timely manner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hyperthermia

A

body temperature exceeding the set point, which usually results from the body or external conditions creating more heat than the body can eliminate, such as in heat stroke, aspirin toxicity, seizures, or hyperthryroidism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What therapeutic effects does fever have?

A

increased white blood cell activity, interferon production and effectiveness, and antibody production and enhancement of some antibiotic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Over Three Temperature reading

A

pinna up and back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Under Three Temperature reading

A

pinna down and back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Cel. and Fahr. Converting Formula

A

C=(Fahrenheit Temp-32)X5/9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Heat Exhaustion

A

not a true fever. excessive heat and dehydration (paleness, dizziness, N, V, fainting, increased T)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Heat Stroke

A

Not a true fever. Exercising in hot weather (warm, flushed skin, and do not sweat, unconscious, seizures, T =106+)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Hypothermia

A

Core body T lower than the lower limit of normal. R/T - impaired hypothalamic thermoregulation, inadequate heat production, excessive heat loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Core Temperature

A

T of deep tissues of the body, remains constant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Surface Temperature

A

T of the skin, SC tissue, and fat. Rises and falls in response to the environment

27
Q

What effects heat production?

A

basal metabolic rate (decreases with age), muscle activity (shivering, increase rate), epinephrine/norepinephrine/sympathetic stimulation/stress response (immediate increase in rate), fever (increase cellular metabolic rate)

28
Q

Heat Loss

A

radiation, conduction, convection, evaportation

29
Q

Radiation

A

Transfer of heat from surface to surface. “to radiate”

30
Q

Conduction

A

One molecule transfers heat to a molecule of a lower T. Molecules must have contact. T difference of molecules determines the amount of heat loss.

31
Q

Convection

A

Dispersion of heat through air currents

32
Q

Evaportion

A

Vaporization of moisture from R tract and mucosa of the mouth and from skin (insensible water loss/heat loss)

33
Q

Temperature Control

A

Sensors in the periphery and in the core, Integrator in the hypothalamus, Effector system that adjusts the production and loss of heat.

34
Q

Hyperpyrexia

A

Very high fever

35
Q

Other words for fever

A

pyrexia, hyperthermia, febrile

36
Q

Intermittent Fever

A

T b/w periods of fever and periods of normal or subnormal

37
Q

Remittent Fever

A

wide range of T fluctuations occurs over a 24hr period, all higher than normal

38
Q

Relapsing Fever

A

short febrile periods of a few days with periods of 1-2 days normal T

39
Q

Constant Fever

A

Fluctuates minimally, above normal

40
Q

Fever Spike

A

T that rises rapidly and then returns to normal within a few days

41
Q

Phases of Fever

A

Prodromal, Chill, Flush, Defervescence

42
Q

Prodromal Phase

A

non-specific complaints, “don’t feel good,” headache and muscle ache, fatigue

43
Q

Chill Phase

A

Increase HR and RR, vasoconstriction, c/o chills, cool skin, piloerection

44
Q

Flush Phase

A

vasodilation, warm, flushed skin, c/o feeling warm, diaphoresis, increase thirst, concentrated urine, postural hypotension

45
Q

Piloerection

A

goose bumps

46
Q

Defervescence Phase

A

diaphoresis, fever resolves

47
Q

Fever and Comfort Needs

A

administer antipyretics as prescribed, provide extra warmth or remove blankets depending on fever phase, ensure gown and bed linens are dry

48
Q

Fever General TNIs

A

monitor T and VS, monitor mental status, promote comfort, monitor nutrition status, accurately measure I & O/ fluid status, monitor ordered labs (WBC)

49
Q

Fever Oxygenation TNIs

A

monitor O2 sat, administer supplemental O2 prn, prevent shivering, provide rest

50
Q

Fever Fluid TNIs

A

monitor I & O carefully, force fluids as ordered (po and IV), provide frequent oral care, estimate insensible loss

51
Q

Fever Nutrition TNIs

A

offer foods that are easily digested, increase carbohydrates and protein, increase calories as ordered

52
Q

Fever Safety and Security TNIs

A

side rails up, assistance when OOB, call bell within reach, seizure precautions as appropriate

53
Q

Antibiotics

A

Used for the bacterial cause of a fever

54
Q

TNIs Antibiotics

A

may obtain C & S prior to treatment, assess for allergies, cross sensitivities with with PCN, effectiveness, assess IV site freq, side effects = GI, CNS, rash, anemia, assess for allergic reaction

55
Q

Cefazolin (ancef, kefzol)

A

1st generation cephalosporin - bactericidal

56
Q

Cefazolin Use

A

surgical prophylaxis, R infections, UTI, Bone/joint and skin infections

57
Q

Gentamicin (Garamycin)

A

Aminoglycoside. Bactericidal, effective against aerobic gram-negative infections

58
Q

Gentamicin

A

systemic infections, bowel prep prior to surgery (sterilize), effective against aerobic gram-negative infections, assess for allergic reaction, IV preferred route, monitor peak and trough levels

59
Q

TNIs Antipyretics

A

cautious use with other medications, do not use aspirin with children, acetaminophen, NSAIDS commonly used

60
Q

What are most fevers caused by in children?

A

virus

61
Q

What is the preferred antipyretic drug for children?

A

acetaminophen

62
Q

What NSAID is approved for fever reduction in children as young as 6 months of age?

A

ibuprofen

63
Q

What cooling methods can RNs teach parents to use safely with febrile children?

A

wear minimal clothing, expose skin to air, reduce room temperature, increase air circulation, apply moist compress to forehead

Semester Two - Nursing 112 (90 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions