A mother brings her 3-year-old daughter to the emergency department because the child has been vomiting and having diarrhea for the past 36 hours. When assessing this child'stemperature, which method would be least appropriate?
Tympanic
Oral
Axillary
Rectal
The Correct Answer is D
A. TympaniC. Tympanic temperature measurement using an ear thermometer is a convenient and accurate method for assessing temperature in children, including toddlers.
B. Oral: Oral temperature measurement using a digital thermometer placed under the tongue is a commonly used method for children who can cooperate with the procedure and keep the
thermometer in their mouth.
C. Axillary: Axillary temperature measurement using a thermometer placed in the armpit is a non-invasive method suitable for children who cannot cooperate with oral or tympanic
measurements or when rectal measurement is contraindicated.
D. Rectal: Rectal temperature measurement is generally considered the most accurate method for assessing temperature in infants and young children, especially when accuracy is critical.
However, it may be less appropriate in the emergency department setting due to its invasive nature and potential discomfort for the child, especially in cases of diarrhea or vomiting where rectal temperature measurement may be difficult or impractical.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Do you participate in any sports?": This question directly addresses gross motor skills by inquiring about physical activities that involve large muscle groups and coordination, such as sports.
B. "Do you play any instruments?": While playing musical instruments may involve some coordination and motor skills, it primarily assesses fine motor skills rather than gross motor skills.
C. "Do you like to do puzzles?": Puzzles primarily assess cognitive skills rather than gross motor skills.
D. "Do you like to construct models?": Constructing models also primarily assesses fine motor skills and cognitive abilities rather than gross motor skills.
Correct Answer is D
Explanation
A. "I can fit my hand between the baby and the car seat harness."
This statement indicates that the harness may not be properly snug against the infant's body, which could compromise safety.
B. "Our car seat is front-facing in the back seat."
For a 6-month-old infant, the car seat should be rear-facing to provide optimal safety in the event of a crash. Front-facing seats are typically used for older children.
C. "The car seat is rear-facing in the front passenger seat."
Rear-facing car seats should never be placed in the front passenger seat, especially if the car is equipped with airbags. The back seat is the safest location for a car seat.
D. "Our car seat is an infant model and is anchored in the car."
This statement indicates that the parent understands the importance of using an appropriate car seat for the infant's age and size and that the seat is properly installed and secured in the vehicle.
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