The nurse is providing care to a client with pneumonia is has a fever. Which interventions should the nurse use to attain the goal of normal body temperature?
Select all that apply.
A) Increase the temperature of the room environment to prevent shivering.
B) Administer antipyretic medications.
C) Restrict fluids during periods of hyperthermia because of the risk of electrolyte imbalance.
D) Use ice packs and a tepid bath every 2 hours.
E) Promote frequent rest periods to increase energy reserve.
Answer: B, E
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 and only as needed. The nurse should encourage fluid intake rather than restrict fluids because of the risk of electrolyte imbalance.
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