The nurse is preparing to assess a client's oral temperature. The nurse should plan to place the thermometer probe in which area of the client's mouth?
Along either upper gum line, adjacent to an incisor.
Deep in the posterior sublingual pocket.
In the inferior buccal space on either side of the tongue.
Superior to the tongue with the tip touching the hard palate.
The Correct Answer is B
A. Along either upper gum line, adjacent to an incisor: Placing the thermometer along the upper gum line near the incisors would not accurately reflect the body's core temperature. The posterior sublingual pocket provides a more reliable reading.
B. Deep in the posterior sublingual pocket: The sublingual pocket, located under the tongue toward the back, is the best place for measuring oral temperature. This area has a good blood supply from the carotid arteries, making it ideal for an accurate temperature reading.
C. In the inferior buccal space on either side of the tongue: The buccal space is not ideal for temperature measurement, as it does not have the same consistent blood supply and is more prone to error due to airflow from breathing.
D. Superior to the tongue with the tip touching the hard palate: Placing the thermometer on top of the tongue against the hard palate would result in an inaccurate reading because this location does not effectively reflect the body's core temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
Correct answers are:
A. Documenting an assessment that was not performed
E. The nurse documents blood labs were sent before the blood draw was performed
Falsification of health records refers to deliberately misrepresenting, fabricating, or altering documentation, which could lead to severe consequences for patients and healthcare providers. In option A, documenting an assessment that was not performed is falsification of health records because it misrepresents the care provided to the patient. Similarly, in option E, documenting that blood labs were sent before the blood draw was performed is a falsification of health records because it is not an accurate representation of the actual order of events.
Options B, C, and D do not involve falsification of health records, but they may be considered documentation errors or violations of organizational policies.
Correct Answer is A
Explanation
The correct answer is choice A, tertiary.
Tertiary prevention aims to improve quality of life and reduce the negative impact of a chronic illness or disability, such as helping the man regain lost function after a stroke. Occupational therapy is a common intervention in tertiary prevention, as it focuses on helping patients adapt to their limitations and develop compensatory strategies to perform daily activities.
Primary prevention aims to prevent a disease or injury before it occurs, such as immunizations or health education to prevent stroke risk factors. Secondary prevention aims to detect and treat a disease in its early stages to prevent complications, such as screening for high blood pressure or high cholesterol levels. Quaternary prevention aims to reduce the harm caused by unnecessary or excessive healthcare interventions, such as avoiding overprescribing medications.
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