The nurse is obtaining the initial vital signs on a client in the emergency room with seizure activity of unknown etiology
The nurse should choose which of the following methods to obtain the most accurate reading of the client's temperature? 1. Axillary
2. Oral
3. Rectal
4. Tympanic
3
Rationale 1: Although axillary is the safest, it is also the least accurate.
Rationale 2: Measuring the temperature orally requires the client's cooperation, which is not possible during seizure activity.
Rationale 3: A rectal temperature should be taken if the client is comatose, confused, having seizures, or unable to close the mouth.
Rationale 4: Measuring the temperature tympanically requires the client's cooperation, which is not possible during seizure activity.
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An 82-year-old widow with Alzheimer's disease lives with her daughter's family, which owns a catering business. During the week, the patient attends a day care center for patients with dementia
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Every time the nurse enters the room of a postpartum patient who gave birth 3 hours ago, the patient asks something else about her birth experience. The nurse should:
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