Nursing Interventions for a Client With a Fever

Physiologic Needs · Question from the ATI PN Fundamentals 2023 Proctored Exam study set

Correct answers:

• Limit physical activity
• Administer an antipyretic
• Encourage intake of oral fluids

Why this is the answer

Rest reduces metabolic demand, antipyretics lower the hypothalamic set point to reduce fever, and increased fluid intake replaces losses from diaphoresis and increased metabolic rate, preventing dehydration.

The bigger concept

Fever care balances comfort with letting the body fight infection. Rest lowers metabolic demand, fluids replace losses from sweating and rapid breathing, and antipyretics reduce the temperature set point. Avoid measures that cause shivering — ice baths, alcohol rubs, or heavy blankets — because shivering generates heat. Monitor temperature trends and report a fever above 39.5°C or a fever with a change in mental status.

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