Which action should the nurse implement when taking an axillary ...

[faduma]

Which action should the nurse implement when taking an axillary temperature?
 
  a. Take the temperature through one layer of clothing.
  b. Add a degree to the result when recording the temperature.
  c. Place the tip of the thermometer under the arm in the center of the axilla.
  d. Hold the child's arm away from the body while taking the temperature.

Question 2

The nurse is aware that skin turgor best estimates what?
 
  a. Perfusion
  b. Adequate hydration
  c. Amount of body fat
  d. Amount of anemia

[otokexnaru]

Answer to Question 1

ANS: C
The thermometer tip should be placed under the arm in the center of the axilla and kept close to the skin, not clothing. The temperature should not be taken through any clothing. The child's arm should be pressed firmly against the side, not held away from the body. The temperature should be recorded without a degree added and designated as being taken by the axillary method.

Answer to Question 2

ANS: B
Skin turgor is one of the best estimates of adequate hydration and nutrition. It does not indicate amount of body fat and is not a test for anemia.

[faduma]

Excellent

[xiaomengxian]

Gracias!