A nurse is in the process of taking a patient’s oral temperature.
The patient informs the nurse that they have just consumed some ice chips. What should the nurse do next?

Record that the nurse was unable to take the patient’s temperature.

Continue to take the oral temperature.

Wait for 30 minutes and then return to take the oral temperature.

Give the patient a sip of warm water, wait for 5 minutes, and then take the temperature.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Recording that the nurse was unable to take the patient’s temperature would not be the most appropriate action in this situation. The nurse can wait for a certain period of time and then take the patient’s temperature.

Choice B rationale

Continuing to take the oral temperature immediately after the patient has consumed ice chips could result in an inaccurately low temperature reading. The cold from the ice chips can temporarily lower the temperature in the mouth.

Choice C rationale

Waiting for 30 minutes and then returning to take the oral temperature is the most appropriate action. Consuming cold substances can lower the oral temperature temporarily, so it’s recommended to wait 15-30 minutes after the patient has consumed something cold before taking an oral temperature.

Choice D rationale

Giving the patient a sip of warm water, waiting for 5 minutes, and then taking the temperature is not the standard procedure. While it might help to normalize the temperature in the mouth more quickly, it’s generally recommended to wait at least 15-30 minutes after the patient has consumed something cold before taking an oral temperature.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Eyelid swelling is not a common side effect of sumatriptan. If a patient experiences this side effect, they should report it to their healthcare provider.

Choice B rationale

If the headache persists after taking sumatriptan, the patient can repeat the dose in 1 hour. This is a standard instruction for the use of sumatriptan in the treatment of migraine headaches.

Choice C rationale

Sumatriptan is not typically taken daily to prevent headaches. It is used to treat migraines once they have started.

Choice D rationale

Sumatriptan tablets should be swallowed whole, not chewed. Chewing the tablet could result in too much of the drug being released at once.

A. Consume the medication on an empty stomach. B. Anticipate initial development of diarrhea. C. Discontinue the medication immediately if a headache occurs. D. Avoid taking antihistamines with this medication.

Correct Answer is D

Explanation

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A nurse is in the process of taking a patient’s oral temperature.The patient informs the nurse that they have just consumed some ice chips. What should the nurse do next?

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A nurse is in the process of taking a patient’s oral temperature.
The patient informs the nurse that they have just consumed some ice chips. What should the nurse do next?