Which precaution should a nurse take when assessing the body temperature of a client when using the oral measurement?
A) Wait if the client has had cold water before measurement.
B) Ensure that the client is resting during the measurement.
C) Ensure that the client is not wearing any constrictive clothing.
D) Record the temperature to the even six-tenths of a degree.
A
Feedback:
If the client has had a hot or a cold drink, the nurse should wait 15 minutes before taking a mouth temperature; the temporary effects of heat or cold will then disappear from mouth tissues. When measuring blood pressure (BP), the client needs to be rested and quiet, and not be wearing constrictive clothing so the brachial pulse is easily accessible. The nurse should record the temperature to the even two-tenths of a degree on the client's graphic record.
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