Which statement is true about assessing body temperature?
a. Ear canal temperature is the best method for detecting fever in infants and young children.
b. Rectal temperature measurement is contraindicated in patients with cardiovascular disease.
c. Pulmonary artery temperature is the most practical method of measuring core temperature.
d. Oral temperature is most appropriate for a patient who has a nasogastric or feeding tube in place through the nose or mouth.
B
Ear canal temperature is less sensitive in detecting fever in infants and young children. Rectal temperature measurement is contraindicated in patients with cardiovascular alterations because the thermometer may stimulate the vagus nerve and cause an irregular cardiac rhythm. Pulmonary artery temperature is the least practical route for measuring temperature because it requires the placement of a thermodilution pulmonary artery catheter. Axillary or rectal temperature sites are used for patients who have a nasogastric or feeding tube in place.
You might also like to view...
A client is 22 and pregnant for the first time. Her contractions are about 15 to 20 minutes apart. At this time, her emotions can be expected to be
a. happy c. panicky b. irritable d. serious
The nurse is caring for four clients. Which client is suitable for NGT removal by the nurse?
1. Restless, confused, without bowel sounds 2. Difficulty swallowing from left-sided stroke 3. Not passing gas with complaints of anorexia 4. Abdomen slightly rounded with incisional pain
Which does the nurse implement to administer ear drops to a 5-year-old child?
1. Warm the ear drops in a microwave oven on low. 2. Pull the auricle up and out to straighten the ear canal. 3. Apply ear drops to cotton ball and insert in affected ear. 4. Instruct child to lie with affected ear on warm compress.
A physician orders sibutramine (Meridia) medications for a client with an eating disorder. A nurse understands that sibutramine (Meridia) and phentermine (Pro-Fast SA) are part of which drug classification?
A) Antidepressants B) Anorexiants C) Antianxiety agents D) Anticonvulsants