A nurse is ready to take the temperature of an adult patient ...

[karlynnae]

A nurse is ready to take the temperature of an adult patient rectally. The nurse's realizes that rectal temperatures are which of the following?
 
  a. Preferable to oral temperatures
  b. Safer than oral temperatures if the patient has neutropenia
  c. The best way to obtain temperatures in newborns
  d. That readings can be influenced by im-pacted stool

Question 2

The student nurse is discussing her 4-year-old patient with her nursing instructor. The instructor asks her about how Erikson's Developmental Tasks have an impact on a 4-year-old child's self-concept and sexuality. What is the best response?
 
  a. Mike identifies with his father.
  b. Mike likes to help dress himself.
  c. Mike is aware that he is too small to play football.
  d. Mike is looking forward to going to col-lege when he gets bigger.

[cdmart10]

Answer to Question 1

D
Rectal temperature readings are sometimes influenced by impacted stool. A rectal temperature is argued to be more reliable than alternative sites when oral temperature is difficult or impossible to obtain, but are not used for patients with diarrhea or those who have had rectal surgery, rectal disorders, bleeding tendencies, or neutropenia, and are not used for routine vital signs in new-borns.

Answer to Question 2

A
Identifying with his father shows that the patient is in the proper stage for his age. In the In-itiative Versus Guilt (3 to 6 years) the individual takes initiative, identifies with a gender, en-hances self-awareness, and increases language skills, including identification of feelings. In the Autonomy Versus Shame and Doubt (1 to 3 years) the individual begins to communicate likes and dislikes, becomes increasingly independent in thoughts and actions, and appreciates body appearance and function (including dressing, feeding, talking, and walking). In the In-dustry Versus Inferiority stage (6 to 12 years) the individual incorporates feedback from peers and teachers, increases self-esteem with new skill mastery (e.g., reading, math, sports, music), strengthens sexual identity, and becomes aware of strengths and limitations. In the Identity Versus Role Confusion stage (12 to 20 years) the individual accepts body changes/maturation, examines attitudes, values, and beliefs; establishes goals for the future, and feels positive about expanded sense of self.