The nurse should expect which manifestations in a patient in the chill phase of fever?
A) Shivering, vasoconstriction, report of feeling cold
B) No chills, no report of feeling distressed
C) Report of feeling uncomfortably hot, sweating
D) Hot dry skin, confusion
A) Shivering, vasoconstriction, report of feeling cold
Explanation: A) The chill phase is marked by mild to severe shivering, vasoconstriction, and an uncomfortable sense of cold. Thermoregulatory responses in the chill phase generate and conserve heat to adjust the body temperature to the new higher set point.
B) The plateau phase occurs when body temperature reaches the new set point and thermoregulatory warming responses are no longer stimulated. In this phase, chills stop, and the warm body temperature is not particularly distressing to the patient.
C) The defervescence phase occurs when the pyrogen level subsides, the set point stabilizes to lower levels, and febrile temperatures feel uncomfortably hot. Sweating becomes profuse, and the individual complains of feeling hot.
D) Heat stroke is characterized by a decrease in sweating and hot, flushed, dry skin.
You might also like to view...
When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow 1-cm nodules. The nurse knows that these nodules are most likely:
a. From urethritis. b. Sebaceous cysts. c. Subcutaneous plaques. d. From an inflammation of the epididymis.
Vaginitis is more common among older females because:
a. of atrophy of the vaginal canal b. lack of lubrication c. lower pH due to decreased estrogen levels d. all of the above
Mongolian spots, which commonly occur over the lumbar and sacral areas of the spine, buttocks, upper back, or shoulders in newborns of African, Latino, or Asian descent, are characterized by
a. a deep blue pigmentation. b. erythematous maculopapular lesions. c. inflammation of the epidermis and superficial dermis. d. ruddy skin color.
A client comes to the emergency department because he thinks he is having a heart attack. Further assessment determines that the client is not having a heart attack, but is having a panic attack
When beginning to interview the client, which question would be most appropriate for the nurse to use? A) "Are you feeling much better now that you are lying down?" B) "What did you experience just before and during the attack?" C) "Do you think you will be able to drive home?" D) "What do you think caused you to feel this way?"