A nurse is observing an assistive personnel (AP) take a client's tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure?
The AP inserts the probe with a straight, forward motion.
The AP positions the client facing her.
The AP pulls the pinna up and back.
The AP points the probe posteriorly.
The Correct Answer is C
Choice A Reason:
Inserting the probe with a straight, forward motion is not correct because the ear canal is curved, and this technique could lead to inaccurate readings or discomfort.
Choice B Reason:
The AP positions the client facing her. The position of the client's face is not relevant to taking a tympanic temperature. The client can face any direction during the procedure.
Choice C Reason:
Pulling the pinna up and back straightens the ear canal in adults, allowing for a more accurate reading when taking a tympanic temperature.
Choice D Reason:
Pointing the probe posteriorly is incorrect as the probe should be pointed towards the tympanic membrane, which usually requires slight angling to align with the ear canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Presenting information from complex to simple: While it's important to simplify complex medical information, presenting it from complex to simple in a brochure may not be the best approach for general public education. Starting with complex information could potentially overwhelm and confuse readers.
Choice B Reason:
Write the information at an 8th-grade reading level is correct. When developing educational materials like brochures for the community, it's important to use language that is easily understandable by the target audience. Writing the information at an 8th-grade reading level ensures that the content is accessible to a wide range of individuals with varying levels of education and literacy. This approach promotes effective communication and helps ensure that more people can access and understand the information about hypertension and its management.
Choice C Reason:
Explaining medical terminology using basic, one-syllable words: While simplifying medical terminology is essential, using only one-syllable words may oversimplify the content and may not adequately convey important information about hypertension.
Choice D Reason:
Using a 12-point font size: Font size is important for readability, but using a specific font size like 12-point may not be sufficient on its own to ensure readability. Factors such as the choice of font style, spacing, and layout are also critical for making the brochure easy to read.
Correct Answer is A
No explanation
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