The licensed nurse is getting report from the unlicensed assistive personnel in relation to
the morning vital signs. Which statement would indicate that the rectal temperature
needs to be taken via a different route?
A) "The client was on oxygen when I took the reading."
B) "I was unable to read the temperature since there was a small amount of stool on the
thermometer."
C) "Since the client was confused, I took the temperature rectally."
D) "The client has had diarrhea three times this morning."
D
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What provides a structured orderly approach to provide accurate, relevant information, in emergent patient situations as well as routine hand offs?
A) GRRRR listening model B) SBAR tool C) Hospital information system D) Wireless, local area networking
Which of the following statements describes the role of a nurse involved in epidemiology?
A) The nurse studies an individual's risk for disease. B) The nurse provides care to individuals with certain diseases. C) The nurse studies the distribution of disease in a population. D) The nurse provides care to a population.
Which action should the nurse implement when taking an axillary temperature?
a. Take the temperature through one layer of clothing. b. Add a degree to the result when recording the temperature. c. Place the tip of the thermometer under the arm in the center of the axilla. d. Hold the child's arm away from the body while taking the temperature.
A health care worker who carries out the basic bedside nursing functions will always be called a patient care assistant (PCA)
True False