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 C
Explanation
A. Telling about safety procedures during baths: While bath safety is important, it may not be the most relevant topic for a 9-month-old, who may already have established bathing routines. Additionally, the focus of anticipatory guidance at this age is often broader than just one specific activity.
B. Warning about small objects left on the floor: While important for safety, this advice may be more pertinent when the child is older and more mobile. At 9 months, infants are typically not yet crawling or exploring the environment as extensively.
C. Advising how to create a toddler-safe homE. At 9 months, infants are becoming more mobile and curious, so advising on how to create a safe environment is crucial to prevent accidents and injuries as the child begins to explore their surroundings.
D. Cautioning about putting the baby in a walker: Walkers are generally not recommended due to safety concerns, but this advice may be more relevant when the child is closer to reaching the appropriate age for walker use.
Correct Answer is A
Explanation
A. Tell the child that another child the same age wasn't afraiD. This approach may backfire as toddlers may not fully understand or relate to the concept of comparison with other children. Additionally, it could potentially increase the child's anxiety by implying that being afraid is abnormal.
B. Permit the child to sit on the parent's lap during the examination: Allowing the child to stay close to their caregiver can provide comfort and security, promoting cooperation during the examination.
C. Offer immediate praise for holding still or doing what was askeD. Positive reinforcement can encourage desired behavior and cooperation by reinforcing the child's efforts to comply with the examination process.
D. Allow the child to touch and hold the equipment when possiblE. Giving the child a sense of control and familiarity with the examination tools can help alleviate fear and increase cooperation during the examination.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.