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 C
Explanation
A. "What has helped you through difficult times in the past?": Important but not the priority in a potential crisis.
B. "Has anyone in your family committed suicide?": Relevant but not the first question.
C. "Are you thinking about ending your life?": Directly assesses the client's safety and risk for suicide.
D. "Is there anyone you would like involved in your care?": Supports coping but is not urgent.
Correct Answer is B
Explanation
A. Low-protein supplements are not recommended; high-protein, high-calorie foods are encouraged to maintain nutrition.
B. Cold foods are often more tolerable for clients experiencing anorexia, as they are less odorous and may help reduce nausea.
C. Serving the largest meal in the evening is inappropriate as appetite typically decreases later in the day; it’s better to serve meals when the client feels most hungry.
D. Drinking large amounts of fluid with meals can lead to early satiety, reducing overall intake.
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