Author Question: Which of these actions illustrates the correct technique the nurse should use when assessing oral ... (Read 32 times)

Davideckstein7 · **on:** Jun 25, 2018

Which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a mercury thermometer?

a. Wait 30 minutes if the patient has ingested hot or iced liquids.
b. Leave the thermometer in place 3 to 4 minutes if the patient is afebrile.
c. Place the thermometer in front of the tongue, and ask the patient to close his or her lips.
d. Shake the mercury-in-glass thermometer down to below 36.6 C before taking the temperature.

Question 2

When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should:

a. Assume that the patient is eager and interested in participating in the interview.
b. Evaluate the patient for abdominal pain, which may be exacerbated in the sitting position.
c. Assume that the patient is having difficulty breathing and assist him to a supine position.
d. Recognize that a tripod position is often used when a patient is having respiratory difficulties.

pikon · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The thermometer should be left in place 3 to 4 minutes if the person is afebrile and up to 8 minutes if the person is febrile. The nurse should wait 15 minutes if the person has just ingested hot or iced liquids and 2 minutes if he or she has just smoked.

Answer to Question 2

ANS: D
Assuming a tripod positionleaning forward with arms braced on chair armsoccurs with chronic pulmonary disease. The other actions or assumptions are not correct.