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.
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Related Questions
Correct Answer is D
Explanation
A. 15 mL: 15 mL is far too high for the volume corresponding to 1 gram of diaper weight.
B. 30 mL: 30 mL is too large of a conversion for 1 gram of diaper weight.
C. 5 mL: 5 mL is too large for the standard conversion of 1 gram of diaper weight to urine volume.
D. 1ml:Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
Correct Answer is A
Explanation
A. Ribbonlike, foul-smelling stools. This is a classic symptom of Hirschsprung disease due to chronic constipation and obstruction from the absence of ganglion cells in the rectum.
B. Projectile vomiting. Projectile vomiting is associated with pyloric stenosis, not Hirschsprung disease.
C. Chronic hunger. This is also indicative of pyloric stenosis rather than Hirschsprung disease.
D. Ridged abdomen. While abdominal distension may occur, a ridged abdomen is not specific to Hirschsprung disease.
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