Author Question: To assess a rectal temperature accurately in an adult, the nurse would: a. Use a lubricated blunt ... (Read 73 times)

captainjonesify · **on:** Jun 25, 2018

To assess a rectal temperature accurately in an adult, the nurse would:

a. Use a lubricated blunt tip thermometer.
b. Insert the thermometer 2 to 3 inches into the rectum.
c. Leave the thermometer in place up to 8 minutes if the patient is febrile.
d. Wait 2 to 3 minutes if the patient has recently smoked a cigarette.

Question 2

The nurse is taking temperatures in a clinic with a TMT. Which statement is true regarding use of the TMT?

a. A tympanic temperature is more time consuming than a rectal temperature.
b. The tympanic method is more invasive and uncomfortable than the oral method.
c. The risk of cross-contamination is reduced, compared with the rectal route.
d. The tympanic membrane most accurately reflects the temperature in the ophthalmic artery.

abctaiwan · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
A lubricated rectal thermometer (with a short, blunt tip) is inserted only 2 to 3 cm (1 inch) into the adult rectum and left in place for 2 minutes. Cigarette smoking does not alter rectal temperatures.

Answer to Question 2

ANS: C
The TMT is a noninvasive, nontraumatic device that is extremely quick and efficient. The chance of cross-contamination with the TMT is minimal because the ear canal is lined with skin, not mucous membranes.