The nurse in female medical ward admits a 50 years old female patient around 1300hrs complaining of productive cough and generalized body pains for 5 days. The patient also reports long standing hotness the body accompanied of fluctuations in body temperature for several months since summer began. On examination vital sings were recorded as follows BP 110/70 mmHg, Temperature 38.5°c Pulse 112 beats/minute Respirations 20 breaths per minute regular. A. Explain any three factors that could lead to the patients rise in body temperature(9 marks)

B Discuss three mechanisms of heat loss that the nurse would employ in reducing the patients temperature.(12 marks)