The nurse needs to measure the temperature of a client who has a ...

[waynest]

The nurse needs to measure the temperature of a client who has a history of heart disease and has eaten a bowl of vegetable soup 45 minutes ago. Which site should the nurse use?
 
  1. Axilla
  2. Oral
  3. Popliteal
  4. Rectal

Question 2

The nurse is preparing to measure a client's temperature. What is the first thing that the nurse should do to ensure an accurate temperature reading?
 
  1. Assess that the equipment used is working properly.
  2. Place the client in a position that is most comfortable for the health care provider.
  3. Take the temperature with a chemical disposable thermometer when the client is perspiring.
  4. Wait at least 10 minutes before taking the temperature after a client has been smoking.

[Jevvish]

Answer to Question 1

Correct Answer: 2
Rationale 1: The axilla is the preferred site for newborns, not adults.
Rationale 2: Body temperature is frequently measured orally even if the client has eaten or drank something cold or hot. One only needs to wait 30 minutes, and then this site can be used.
Rationale 3: The popliteal site would not be used given the history of heart disease. There could be circulatory issues that might affect accurate reading because this site is much farther away from the heart.
Rationale 4: The rectal site would be contraindicated in this client given the history of heart disease. With the diagnosis of heart disease, the nurse would need to assess for the presence of hemorrhoids.

Answer to Question 2

Correct Answer: 1
Rationale 1: If the equipment is not working properly, no accuracy will be obtained in the readings.
Rationale 2: The type of equipment or method that is chosen will dictate client position, not the position of the health care provider.
Rationale 3: If the equipment is not working properly, no accuracy will be obtained in the readings. The type of equipment or method that is chosen will dictate client position, not the position of the health care provider. In order to use a chemical disposable thermometer, the client's skin must be dry for the thermometer to adhere to the skin.
Rationale 4: The recommended time to wait to assess an oral temperature is 30 minutes after one smokes, not 10 minutes.

[waynest]

Both answers were spot on, thank you once again

[Jevvish]

Great! Please up vote