i posted something like this elsewhere, but it might work:
remove the livna nvidia driver, and go to
http://freshrpms.net and load in their rpm for nvidia-drv. it auto-config'd xorg.conf, reboot gave a really fine running test of both scorched3d and doom3 (in ultra-high graphics mode!)with only a 1 degree C rise on the card.
The monitor section and the modes line was a hand-edit to prevent fedora's tendency to overdrive my monitor. ymmv.
# Xorg configuration created by pyxf86config
Section "ServerLayout"
Identifier "Default Layout"
Screen "Screen0"
InputDevice "Keyboard0" "CoreKeyboard"
EndSection
Section "Files"
ModulePath "/usr/lib64/xorg/modules/extensions/nvidia"
ModulePath "/usr/lib64/xorg/modules"
EndSection
#Section "Modules"
# Load "glx"
#EndSection
Section "InputDevice"
Identifier "Keyboard0"
Driver "kbd"
Option "XkbModel" "pc104"
Option "XkbLayout" "us"
EndSection
Section "Device"
Identifier "Videocard0"
Driver "nvidia"
EndSection
Section "Monitor"
Identifier "Monitor0"
HorizSync 31-72
VertRefresh 50-160
EndSection
Section "Screen"
Identifier "Screen0"
Device "Videocard0"
DefaultDepth 24
SubSection "Display"
Viewport 0 0
Depth 24
Modes "1280x1024" "1024x768" "800x600"
EndSubSection
EndSection