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 ["260"]
Explanation
To calculate the total fluid intake, add up the volume of each item consumed:
- 1⁄2 cup of juice = approximately 120 mL
- 3 oz gelatin = approximately 90 mL
- 1 oz of an ice pop = approximately 30 mL
- 20 mL ginger ale
Total fluid intake = 120 mL (juice) + 90 mL (gelatin) + 30 mL (ice pop) + 20 mL (ginger ale)
= 260 mL
Correct Answer is C
Explanation
A. Forward-facing in the front passenger seat: This position is not suitable for an infant. Infants should always be placed in a rear-facing car seat in the back seat of the vehicle to reduce the risk of injury in the event of a crash.
B. Rear-facing in the back seat next to a window: Placing an infant next to a window increases the risk for injury. The safest position for a car seat is in the center of the back seat
C. Rear-facing in the middle of the back seat: Although the manufacturer of the car seat will provide specifics regarding use, a child should remain in a rear-facing car seat until age 2 or until the child outgrows the height or weight limits of a rear-facing seat
D. Forward-facing in the back seat: Forward-facing car seats are appropriate for older children, typically after they have outgrown rear-facing car seats based on height and weight requirements.
Infants should always ride in a rear-facing car seat until they reach the maximum weight or height limit specified by the car seat manufacturer.
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