A client has just had a cup of coffee, and the nurse needs to measure the body temperature. The nurse should:
A. Take a rectal temperature
B. Take an axillary temperature
C. Use a tympanic membrane sensor
D. Postpone the measurement for 5 minutes
C
A, B, C, D. Tympanic membrane sensor is unaffected by oral intake of food or fluids or smoking.
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An 80-year-old man, newly diagnosed with primary hypertension, has just been started on a beta-blocker
The nurse knows that in addition to teaching the patient about his medication (ie, side effects, purpose, and schedule), she should also focus her teaching on what? A) Limiting fluids in order to decrease vascular volume B) Maintaining a diet high in dairy to increase protein necessary to prevent organ damage C) Use of supportive devices such as hand rails and walkers to prevent falls stemming from postural hypotension D) Limiting exercise to avoid injury that can be caused by postural hypotension
A male patient has been diagnosed with syphilis following serological testing and is now being treated with penicillin G
The nurse recognizes the importance of health education around the treatment of this disease and should prioritize which of the following educational interventions? A) Educating the patient on methods for the prevention of transmission B) Teaching the patient about the differences between syphilis and viral sexually transmitted infections (STIs) C) Teaching the patient strategies to augment his self-esteem D) Educating the patient about the signs and symptoms of syphilis in a female
Which information should the nurse include in a teaching care plan for a patient with moyamoya disease?
A) It may be an inherited genetic disorder. B) It is caused by an arteriovenous fistula. C) It is caused by the inflammatory process. D) It is caused by a narrowing of the cerebral arteries.
The nurse is preparing a presentation on Standard Precautions. Which statement should be included in the presentation?
1. Cut the needle off a syringe after using it to give a client an injection. 2. Dispose of blood-contaminated materials in a biohazard container. 3. Gloves should not be worn for client care unless body fluids are seen. 4. Wear a mask when in direct contact with all clients.