A patient has a severe upper respiratory and ear infection and has been experiencing diarrhea. Assessment of the temperature would be most accurate if the nurse checked the temperature us-ing which site?
a. The rectum
b. The axilla
c. Under the tongue
d. The tympanic membrane
B
The axilla is the only area listed where there is no infection or health issue and where there is no interference to its accuracy. The rectum is an inappropriate site because of the diarrhea. The oral route, under the tongue, is an inappropriate site because of the severe upper respiratory infection. If the patient cannot breathe through the nose, mouth breathing occurs, and the mouth cannot be closed to create a seal for an accurate temperature measurement. The tympanic membrane is an inappropriate site because of the ear infection.
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