When taking a rectal temperature with a glass thermometer,
A. lubricate and insert the bulb 2 inches into the rectum.
B. hold the thermometer in place with your hand.
C. leave the thermometer in place for 1 to 2 minutes.
D. apply the principles of transmission-based precautions.
Answer: B
You might also like to view...
Which of the following patients on a subacute geriatric medicine unit is likely at the highest risk for experiencing a cerebrovascular accident (CVA)?
A) Mr. L, age 79, who has poorly controlled hypertension and smokes half a pack of cigarettes daily. B) Mrs. H, a 90-year-old woman, who has a diagnosis of vascular dementia. C) Mr. J, a 77-year-old man, who has experienced an upper GI bleed and required a transfusion of packed red blood cells. D) Mrs. N, age 83, who has had a recent fall resulting in a broken left wrist and hip.
The nurse is planning to irrigate an infected wound. Which of the following should the nurse do to reduce exposure to pathogens?
1. Wear a mask or eye/face shield. 2. Wear a sterile gown. 3. Place the patient in a side-lying position. 4. Have the patient hold the wound irrigant.
The anesthesiologist has ordered continued pulse oximetry readings for a postoperative client. Which of the following nursing interventions is most appropriate?
1. Remove the pulse oximeter sensor every 8 hours to prevent skin irritation and possible breakdown. 2. Anticipate gaining as much information from the pulse oximeter readings as from arterial blood gas values. 3. Place the pulse oximeter sensor on the same extremity as the blood pressure cuff if possible. 4. Use pulse oximetry measurements along with the other assessment data.
The nurse determines that the patient is in cardiac arrest. Which does the nurse delegate to nursing assistive personnel (NAP)?
a. Deliver chest compressions. b. Help with patient positioning as directed. c. Inform the family about the patient. d. Prepare emergency medications.