Prior to delegating temperature measurement to assistive personnel, the nurse determines the appropriate method of measuring the client's temperature. Safety considerations include: Standard Text: Select all that apply

1. Forcing the thermometer into place to make sure it is accurate.
2. Making sure the client knows not to roll over when a rectal thermometer is in place.
3. Using the blue-tipped thermometer for an oral temperature.
4. Using a site other than oral if the client is known to have frequent seizures.
5. Using probe covers, except for axillary temperatures.


3,4
Rationale: Thermometers should never be forced into place; if one does not enter easily, reassess the site, and consider a different location.

Nursing

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