A hospitalized client with a body temperature of 104°F is entering the flush phase of the fever. Which action by the nurse is appropriate when providing care?
A)Restricting fluids.
B)Monitoring intake and output.
C)Covering the client with warm blankets.
D)Providing warmed intravenous fluids.

Question

Quizplus · Accepted Answer

A)During the flush phase of a fever, the client's body is attempting to adjust the temperature set-point lower. Nursing measures are implemented in order to aid the body in reestablishing a core temperature compatible with normal cellular functioning. The nurse must diligently monitor the client's intake and output to addresses changes in hydration state. Restricting fluids could lead to dehydration and a higher body temperature. Warm blankets and warm intravenous fluids will increase the body's temperature.
B)During the flush phase of a fever, the client's body is attempting to adjust the temperature set-point lower. Nursing measures are implemented in order to aid the body in reestablishing a core temperature compatible with normal cellular functioning. The nurse must diligently monitor the client's intake and output to address changes in hydration state. Restricting fluids could lead to dehydration and a higher body temperature. Warm blankets and warm intravenous fluids will increase the body's temperature.
C)During the flush phase of a fever, the client's body is attempting to adjust the temperature set-point lower. Nursing measures are implemented in order to aid the body in reestablishing a core temperature compatible with normal cellular functioning. The nurse must diligently monitor the client's intake and output to address changes in hydration state. Restricting fluids could lead to dehydration and a higher body temperature. Warm blankets and warm intravenous fluids will increase the body's temperature.
D)During the flush phase of a fever, the client's body is attempting to adjust the temperature set-point lower. Nursing measures are implemented in order to aid the body in reestablishing a core temperature compatible with normal cellular functioning. The nurse must diligently monitor the client's intake and output to address changes in hydration state. Restricting fluids could lead to dehydration and a higher body temperature. Warm blankets and warm intravenous fluids will increase the body's temperature.

A Hospitalized Client with a Body Temperature of 104°F Is