The nurse observes a new employee, an uncertified nursing assistant (UAP), checking the temperature using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer.
Which action should the nurse implement?
Remind the UAP to locate the thermometer before gently inserting the ear.
Demonstrate the correct technique for pulling the client's auricle up and back.
Advise the UAP to hold the thermometer securely in place to obtain the measurement.
Use positive reinforcement to affirm that the procedure being performed correctly.
The Correct Answer is D
The UAP is correctly pulling the client’s auricle up and back and preparing to insert the thermometer1.
Choice A is incorrect because it is not necessary to remind the UAP to locate the thermometer before gently inserting it into the ear.
Choice B is incorrect because the UAP is already demonstrating the correct technique for pulling the client’s auricle up and back1.
Choice C is incorrect because it is not necessary to advise the UAP to hold the thermometer securely in place to obtain the measurement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
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Choice A is incorrect because eschar and slough in the wound are not signs of proper healing.
Choice B is incorrect because beety red granulation tissue is not a sign of proper healing.
Choice C is incorrect because erythema and serosanguineous drainage are not signs of proper healing.
Correct Answer is D
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Choice A is not the answer because a sterile needle is not necessary for measuring an oral dose of medication.
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Choice C is not the answer because a 3 mL syringe may not be precise enough to accurately measure a 2 mL dose of a viscous liquid solution.
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