A nurse is teaching a newly licensed nurse about measuring body temperature in clients. Which of the following clients should the nurse instruct to obtain an oral temperature?
A client who has haemorrhoids
A client who had recent oral surgery
A client who has a coagulation disorder
A client who is drinking ice water
The Correct Answer is A
Answer: A
Rationale:
A) A client who has hemorrhoids: An oral temperature is appropriate for this client as there are no contraindications for using the oral route. Hemorrhoids do not affect the accuracy or safety of oral temperature measurement.
B) A client who had recent oral surgery: Oral temperature measurement should be avoided for this client as it may cause discomfort or disrupt the healing process. Alternative routes, such as tympanic or axillary, are more appropriate.
C) A client who has a coagulation disorder: Oral temperature measurement might be risky in clients with coagulation disorders due to the potential for trauma or bleeding from the oral mucosa. A non-invasive method is preferable for safety.
D) A client who is drinking ice water: Drinking ice water can temporarily lower the temperature in the oral cavity, leading to inaccurate readings. The nurse should wait 15–30 minutes before measuring an oral temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Dehydration can cause hypotension, so increasing fluid intake can help to restore fluid levels and improve blood pressure1. Mild dehydration can be treated with fluids and electrolytes, while moderate-to-severe dehydration may require treatment with intravenous fluids and electrolytes2.
Correct Answer is B
Explanation
According to the CDC, practicing hand hygiene is a simple yet effective way to prevent infections in healthcare settings. Hand hygiene means cleaning your hands by washing with soap and water or using an alcohol-based hand sanitizer. When washing hands with soap and water, healthcare workers should wash their hands for at least 20 seconds1. Holding their hands below the elbows while rinsing off soap is a proper hand hygiene technique
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