Which patient should have the temperature taken orally rather than using a tympanic thermometer?
An unconscious, intubated patient
A patient with bilateral middle ear infections
An agitated patient who cannot follow directions
A patient with gastroenteritis who is vomiting
The Correct Answer is B
A. An unconscious, intubated patient. An oral temperature is not appropriate for an unconscious or intubated patient due to the risk of injury and inability to follow instructions. A tympanic, rectal, or axillary method would be preferred.
B. A patient with bilateral middle ear infections. Tympanic thermometers measure temperature through the ear canal and tympanic membrane, which can be affected by infection or inflammation, leading to inaccurate readings. An oral or alternative method is preferred.
C. An agitated patient who cannot follow directions. Oral temperature requires cooperation, so it would not be suitable for an agitated patient who may bite or not keep the thermometer in place. A tympanic or axillary method would be better.
D. A patient with gastroenteritis who is vomiting. Vomiting can make oral temperature measurement uncomfortable and impractical. A tympanic, axillary, or rectal method would be more appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
Calculation:
Volume to administer = Dose ordered/ Dose available
Given:
- Ordered dose = 10 mg
- Available concentration = 10 mg/10 mL
Volume =10mg/(10mg/10mL)
= 10mL
Thus, the nurse will administer 10 mL per dose.
Correct Answer is ["2"]
Explanation
Calculation:
To determine the number of tablets per dose, use the formula:
Tablets per dose = Dose ordered/ Dose available
Given:
- Ordered dose = 10 mg
- Available dose = 5 mg per tablet
Tablets per dose = 10mg/ (5mg/tablet)
= 2 tablets
Thus, the nurse will administer 2 tablets per dose.
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