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 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.
Correct Answer is B
Explanation
A. "I will monitor the client’s blood glucose level every 8 hours": Incorrect. Blood glucose should be monitored more frequently, typically every 4-6 hours, due to the risk of hyperglycemia.
B. "I will hang a new bag of TPN and IV tubing every 24 hours": This practice reduces the risk of infection associated with TPN, which is a high-risk therapy.
C. "I will increase the rate of the TPN infusion to ensure the correct amount is given": Incorrect. The TPN infusion rate should not be adjusted without a provider's order, as it can cause hyperglycemia or fluid overload.
D. "I will obtain the client’s weight every other day": Incorrect. Daily weights are necessary to monitor fluid status and nutritional effectiveness.
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