Which of the following sites would be the most appropriate choice to use to measure a client's temperature who has a history of heart disease and has just eaten a bowl of vegetable soup?
1. Axilla
2. Oral
3. Popliteal
4. Rectal
Correct Answer: 2
Rationale 1: Axilla is the preferred site for newborns, not adults.
Rationale 2: Body temperature is frequently measured orally even if the client has eaten or drank something cold or hot. One only needs to wait 30 minutes, and then this site can be used.
Rationale 3: The popliteal site would not be used given the history of heart disease. There could be circulatory issues that might affect accurate reading since this site is much farther away from the heart.
Rationale 4: Rectal would be contraindicated in this client given the history of heart disease. With the diagnosis of heart disease, the nurse would need to assess for the presence of hemorrhoids.
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