針對高燒病人，下列哪些護理措施是適當的？（選所有適合的）
Which of the following are appropriate nursing interventions for a client with hyperthermia? (Select all that apply.)
- AAdminister antipyretics as ordered✓ 正解依醫囑給予退燒藥
- BIncrease fluid intake to prevent dehydration✓ 正解增加液體攝取以防止脫水
- CWrap the client in warm blankets to induce sweating用溫暖的毯子包裹病人以誘發出汗
- DMonitor temperature every 2-4 hours✓ 正解每 2-4 小時監測體溫
- EProvide cool, damp cloths to the forehead and axilla✓ 正解在前額和腋下提供涼濕毛巾
高燒會增加身體代謝率與水分流失，因此補充水分（B）與監測體溫（D）是維持生理恆定的必要措施。解熱劑（A）可透過作用於下視丘體溫調節中樞來降溫。物理降溫（E）利用傳導與對流，對 forehead 與 axilla 等血管豐富區降溫效果佳。選項（C）是錯誤做法，溫毯會導致體溫持續上升並加重身體負擔，若病人出現寒顫（Shivering），過度物理降溫可能導致代謝產熱增加，護理時需平衡病人舒適度與體溫調節需求，避免發生低溫休克，這是一項綜合性的評估過程。
Appropriate interventions include administering antipyretics to reset the hypothalamic set point, increasing fluid intake to prevent dehydration, and monitoring temperature frequently. Physical cooling methods like cool compresses help lower body temperature through conduction. Wrapping the client in warm blankets is contraindicated as it exacerbates hyperthermia and increases metabolic demand.
美國護理強調透過降溫措施來控制『發燒引起的舒適度不佳』，若病人無嚴重不適，有時採觀察策略；台灣臨床傾向積極退燒，護理師常需在短時間內執行物理降溫與給藥。