A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select all that apply.)

A client who is drinking Ice water

A client who had recent oral surgery

A client who breaths through the mouth

A client who has hemorrhoids

A client who has a coagulation disorder

Answer and Explanation

Correct Answer : D,E

A.   If a client has just consumed ice water, it can lower the oral temperature and lead to inaccurate readings. It's generally recommended to wait at least 15-30 minutes after eating or drinking before taking an oral temperature.
B.   A client who has had oral surgery may have swelling, pain, or open wounds, which could make taking an oral temperature uncomfortable and could also lead to inaccurate results. Alternative sites, such as axillary or tympanic, might be preferred.
C.   Clients who primarily breathe through their mouth may have a lower oral temperature reading due to airflow affecting the measurement. Additionally, mouth breathing can lead to inaccuracies in the reading.
D.   While hemorrhoids themselves do not affect the ability to take an oral temperature, this client is suitable for oral temperature measurement since it does not interfere with the method.
E.   A client with a coagulation disorder can typically have their oral temperature taken. There are no contraindications to taking an oral temperature in this case, as long as the client does not have any other conditions affecting their ability to do so.

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Correct Answer is C

Explanation

A. Cultural factors include beliefs, values, and practices that influence a person’s health behaviors and decisions. While cultural considerations can impact healthcare access and adherence, this client's primary concern about medication affordability is not specifically rooted in cultural issues.
B. Environmental factors refer to external conditions that affect health, such as housing, pollution, and access to healthcare facilities. While living in subsidized housing may relate to the environment, the core issue here is not about environmental conditions but rather about financial resources and their impact on health.
C. Socioeconomic factors encompass an individual’s economic status, including income, education, and occupation. The client’s concern about affording medications is a clear indication of socioeconomic status affecting their health.
D. Health literacy involves the ability to obtain, process, and understand basic health information and services. While health literacy can influence how effectively a person manages their health and navigates the healthcare system, the client's concern about medication costs is more about financial capability than their understanding of health information.

A. A client is scheduled to receive an influenza vaccination B. A client who has a family history of breast cancer is scheduled for a mammogram. C. A client who has heart failure is scheduled for an echocardiogram. D. A client who is asymptomatic is not scheduled for a series of tests.

Correct Answer is B

Explanation

A. This is an example of primary prevention. Vaccinations are aimed at preventing illness before it occurs by building immunity, making this an action focused on health promotion and disease prevention.
B. This is an example of secondary prevention. Mammograms are screening tests used to detect breast cancer early in asymptomatic individuals, allowing for early intervention and treatment. This level of prevention focuses on early detection and intervention.
C. This is an example of tertiary prevention. An echocardiogram is used to assess and manage an existing health condition (heart failure) rather than to prevent the onset of a disease. This level of prevention focuses on managing and minimizing the effects of established diseases.
D. This does not represent a level of prevention but rather indicates a decision to not pursue further diagnostic testing based on the absence of symptoms. This choice aligns more with the absence of active preventive measures rather than a defined level of prevention.

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A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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