The nurse working in the emergency department admits a 2-month-old infant whose mother reports had a temperature of 104.2 °F axillary. Which route would the nurse use to measure the infant's temperature?

1. Tympanically
2. Orally
3. Axillary
4. Rectally


Correct Answer: 4

Although rectal temperature measurement may be discouraged for routine use in infants, when the temperature is very high and it is important to get the most accurate reading, the rectal route is best. Oral and tympanic temperatures are generally not considered accurate in infants, and axillary readings are not as accurate as rectal readings.

Nursing

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