Tepid water or sponge baths are indicated for hyperthermia in ...

[bobypop]

Tepid water or sponge baths are indicated for hyperthermia in children. The nurse should:
 
  a. Add isopropyl alcohol to the water.
  b. Direct a fan on the child in the bath.
  c. Stop the bath if the child begins to chill.
  d. Continue the bath for 5 minutes.

Question 2

The nurse approaches a group of school-age patients to administer medication to Sam Hart. To identify the correct child, the nurse should:
 
  a. Ask the group, Who is Sam Hart?
  b. Call out to the group, Sam Hart?
  c. Ask each child, What's your name?
  d. Check the patient's identification name band.

[blakcmamba]

Answer to Question 1

ANS: C
Environmental measures such as sponge baths can be used to reduce temperature if tolerated by the child and if they do not induce shivering. Shivering is the body's way of maintaining the elevated set point. Compensatory shivering increases metabolic requirements above those already caused by the fever. Ice water and isopropyl alcohol are inappropriate, potentially dangerous solutions. Fans should not be used because of the risk of the child developing vasoconstriction, which defeats the purpose of the cooling measures. Little blood is carried to the skin surface, and the blood remains primarily in the viscera to become heated. The child is placed in a tub of tepid water for 20 to 30 minutes.

Answer to Question 2

ANS: D
The child must be correctly identified before the administration of any medication. Children are not totally reliable in giving correct names on request; identification bracelets should always be checked. Asking the group to identify the child, calling out the child's name, and asking each child to give his or her name are not acceptable ways to identify a child. Older children may exchange places, give an erroneous name, or choose not to respond to their name as a form of a joke.