Of the following sites, which are used for obtaining a core temperature? (Select all that apply.)

a. Oral
b. Rectal
c. Tympanic
d. Axillary
e. Pulmonary artery


ANS: C, E
Intensive care units use the core temperatures of the pulmonary artery, esophagus, and urinary bladder. Because the tympanic membrane shares the same arterial blood supply as the hypothalamus, the tympanic temperature is a core temperature. Oral, rectal, axillary, and skin temperature sites rely on effective blood circulation at the measurement site.

Nursing

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The nurse reviews the medical histories for a group of clients. Which client should the nurse suggest meet with a dietician to manage protein needs?

a. Middle-aged male client who is overweight b. Adolescent client recovering from pneumonia c. Older client who lives alone on a limited income d. Young adult client recovering from a fractured leg

Nursing

A patient is diagnosed with heart failure after being admitted to the hospital for shortness of breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be effective?

a. Assure the patient that the nurse is an expert on management of heart failure. b. Teach the patient at each meal about the amounts of sodium in various foods. c. Discuss the importance of medication control in maintenance of long-term health. d. Refer the patient to a home health nurse for instructions on diet and fluid restrictions.

Nursing

Which stem question best indicates that an "Analysis" category question is being asked?

a. Which action should the nurse perform first? b. You know your teaching concerning co-lostomy care was successful if the client makes which statement? c. Identify the data that are most important to obtain for a client with cardiac disease. d. Which nursing diagnosis has the highest priority?

Nursing

The client has been diagnosed with schizophrenia and is exhibiting a loss of function and motivation. The nurse recognizes that these symptoms are categorized as:

a. positive. b. paranoiac. c. negative. d. incoherent.

Nursing