The nurse is monitoring for signs and symptoms of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided?

Orally

Tympanic

Rectal

Axillary

Answer and Explanation

The Correct Answer is C

A. Orally: Oral temperature measurement is generally not suitable for a 1-year-old because they are often not able to cooperate, but it is not contraindicated for the child.
B. Tympanic: Tympanic (ear) temperature measurement is acceptable in children over 3 months old and is non-invasive.
C. Rectal: Rectal temperature should be avoided in infants and toddlers with diarrhea due to the risk of rectal trauma and infection. Diarrhea may also cause irritation to the rectal area, increasing the risk of injury.
D. Axillary: Axillary (underarm) temperature measurement is safe and commonly used in children, particularly for non-invasive monitoring.

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Correct Answer is D

Explanation

A. Place the infant supine in a crib prior to administration: The infant should be in an upright position to prevent choking or aspiration.
B. Mix the medication with 10 mL of formula: Medications should not be mixed with a large volume of formula to ensure the infant consumes the full dose.
C. Measure the elixir in a medicine cup before transferring to a syringe: The syringe should be used directly to avoid dosing errors.
D. Position the syringe to the side of the infant's tongue: This technique ensures the medication is delivered effectively and minimizes the risk of choking.

A. Increased respiratory rate B. Increased platelet count C. Decreased hematocrit D. Decreased heart rate

Correct Answer is A

Explanation

A. Increased respiratory rate: Dehydration can cause compensatory tachypnea to offset metabolic acidosis.
B. Increased platelet count: Dehydration typically affects fluid balance but does not directly increase platelet count.
C. Decreased hematocrit: Dehydration often causes hemoconcentration, leading to an increased hematocrit.
D. Decreased heart rate: Dehydration usually causes tachycardia, not bradycardia.

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The nurse is monitoring for signs and symptoms of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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