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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. ACE inhibitor: ACE inhibitors are used to manage hypertension or proteinuria but are not the classification for prednisone.
B. Loop diuretics: Loop diuretics (e.g., furosemide) manage edema but are unrelated to prednisone.
C. Corticosteroids: Prednisone is a corticosteroid that reduces inflammation and suppresses the immune response, which helps decrease proteinuria in nephrotic syndrome.
D. NSAIDs: NSAIDs are anti-inflammatory but are not used for treating nephrotic syndrome as they do not reduce proteinuria or edema.
Correct Answer is D
Explanation
A. Symptoms of UTI: While UTIs can cause secondary enuresis, this option does not define the condition of persistent bed-wetting since birth.
B. Gastroesophageal Reflux: This is unrelated to bed-wetting.
C. Regressing behavior: Regressive behavior applies to children who revert to bed-wetting after being continent, which defines secondary enuresis.
D. Primary enuresis: This refers to children who have never achieved nighttime dryness for an extended period.
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