A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use?
Tympanic
Oral
Axillary
Rectal
The Correct Answer is C
A. Tympanic thermometers are not recommended for newborns because the ear canal is difficult to assess accurately in this age group.
B. Oral temperatures are not recommended for newborns due to the difficulty in ensuring accuracy.
C. The axillary site is the recommended method for obtaining a newborn's temperature. It is safe and non-invasive.
D. Rectal temperatures are accurate but are invasive and may cause discomfort or injury. It should only be used if other methods are not feasible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While noting changes in the medical record is important, it doesn’t specifically address communication between staff members.
B. Having interdisciplinary team meetings on a regular basis ensures that all healthcare providers involved in the client’s care are informed of the current treatment plan, goals, and changes. This promotes communication and collaboration across disciplines, which is especially important in the care of clients with conditions like expressive aphasia.
C. Recording progress in the nurses’ notes is important, but it alone does not foster active communication between different team members.
D. Posting swallowing precautions is important for the safety of the client but doesn’t address the need for better communication among the team.
Correct Answer is A
Explanation
A. Using an ultrasound picture as a focal point is an effective nonpharmacological distraction technique for managing labor pain.
B. Biofeedback requires prior training and is not typically initiated during labor.
C. Acupuncture requires a specialist and is not commonly initiated by nurses during labor.
D. Transcutaneous electrical nerve stimulation (TENS) is typically used for back pain rather than pelvic pressure.
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