A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use?

Tympanic

Oral

Axillary

Rectal

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. The client takes furosemide twice daily: There is no direct contraindication between furosemide and lavender oil.

B. Lavender oil, especially in aromatherapy, can trigger respiratory issues in some individuals, particularly those with asthma. Essential oils can act as irritants and exacerbate bronchospasms, potentially leading to wheezing, coughing, or an asthma attack. Therefore, the nurse should advise caution when using lavender oil in clients with a history of asthma.

C. The client takes vitamin C daily: There is no significant interaction between lavender oil and vitamin C.

D. While lavender has mild sedative properties, it is not a direct contraindication for clients with a history of alcohol use disorder. However, excessive use of lavender could enhance CNS depression when combined with alcohol, so it should be used with caution.

A. Administer flumazenil to the client. B. Monitor the client's IV site for thrombophlebitis. C. Initiate seizure precautions for the client. D. Evaluate the client for further suicidal behavior.

Correct Answer is A

Explanation

A. Flumazenil is the antidote for benzodiazepine overdose and should be administered to reverse the effects of diazepam.

B. Monitoring the IV site is important but not an immediate priority in this situation.

C. Seizure precautions are not the primary concern after benzodiazepine overdose.

D. Evaluating for suicidal behavior is important but comes after stabilizing the client.

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Body Systems	Findings
Respiratory	Respiratory rate 26/min
Cardiovascular	Heart rate 112/min Capillary refill 4 seconds
Gastrointestinal	Hyperactive bowel sounds
Integumentary	Diaper area reddened with erythema noted Extremities cool Reports no tears
Neurologic	Lethargic

A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?

Correct Answer is B

Explanation

A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 min ago. The client is lethargic and a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next?

Correct Answer is A

Explanation

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