Author Question: A nurse is caring for a client with fever. The nurse is assessing the client's core body ... (Read 44 times)

Kikoku · **on:** Jul 22, 2018

A nurse is caring for a client with fever. The nurse is assessing the client's core body temperature. Which of these sites most clearly reflects the client's body temperature?

A) Ear
B) Rectum
C) Axilla
D) Mouth

Question 2

A nurse at a health care facility provides continence training to a client. During the training, the nurse plans a trial schedule for voiding that correlates with the time when the client is usually incontinent.

Which of the following is a possible reason for the nurse's action? A) Reveals the client's type of incontinence
B) Prevents self-defeating consequences
C) Ensures adequate urine volume
D) Reduces potential for accidental voiding

Shshxj · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
The ear, or the tympanic membrane, is the peripheral site that most closely reflects core body temperature. The most practical and convenient temperature assessment sites are the ear, mouth, rectum, and axilla. However, the tympanic membrane is most accurately indicative of core temperature.

Answer to Question 2

D
Feedback:
During the training, the nurse plans a trial schedule for voiding that correlates with the time when the client is usually incontinent so as to reduce the potential for accidental voiding or sustained urinary retention. Compiling a log of the client's urinary elimination pattern helps reveal the client's type of incontinence. Setting realistic, specific, short-term goals for the client prevents self-defeating consequences. Discouraging strict limitation of fluid intake ensures adequate urine volume.