A client develops hyperthermia related to a diagnosis of pneumonia. Which of the following nursing interventions would the nurse plan to use to attain the goal of normal temperature? (Select all that apply.)

Question

1. Increase the temperature of the room environment to prevent shivering
2. Use ice packs and a tepid bath as needed
3. Administer antipyretic medications per physician's orders
4. Promote frequent rest periods to increase energy reserve
5. Restrict fluids during periods of hyperthermia because of the risk of electrolyte imbalance

Answer 1

2. Use ice packs and a tepid bath as needed
3. Administer antipyretic medications per physician's orders
4. Promote frequent rest periods to increase energy reserve

Rationale:
Hyperthermia is an expected consequence of the infectious disease process. Fever can produce mild, short-term effects and, when prolonged can cause life-threatening effects. The nurse should administer antipyretic medications as indicated for elevated temperatures and enforce frequent rest periods because rest increases energy reserve that is depleted by increased metabolic, heart, and respiratory rates. The nurse should use ice packs, cool/tepid baths, or a hypothermia blanket with caution. The nurse should encourage rather than restrict fluids because of the risk of electrolyte imbalance.