A nurse observes a student taking an adult patient's tympanic temperature. What action by the student requires the nurse to intervene?
a. Student washes hands prior to patient contact
b. Student pulls the pinna of the patient's ear down and back
c. Student explains the procedure to the patient
d. Student pulls the pinna of the patient's ear up and back
ANS: B
For an adult, the correct procedure for taking a tympanic temperature includes pulling the pinna of the patient's ear up and back. Children's pinnae are pulled down and back. Washing hands and explaining the procedure are appropriate.
You might also like to view...
A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet) for Parkinson's disease. Which information is most important for the nurse to report to the health care provider?
a. Shuffling gait b. Tremor at rest c. Cogwheel rigidity of limbs d. Uncontrolled head movement
On admission to a psychiatric unit, a client with obsessive–compulsive disorder (OCD) folds and unfolds her clothes and arranges and rearranges them in the drawers for an hour. What is the most appropriate nursing intervention for this client?
A) Explain to the client that she must come out of her room and join the others in the dayroom. B) Give the client a task to complete to get her mind off the ritual. C) Allow the client as much time as she wants to perform the ritual. D) Take the client by the hand and say, "It's time to go to group therapy now."
A personal emergency preparedness plan will help individuals to cope personally with the disruption caused by a disaster and allows the healthcare worker to focus on caring for the clients
What should be considered in the personal emergency preparedness plan? A) Plan for short-term power outrages B) Keep a first-aid kit stocked and on hand C) Store 2 gallons of water per person in the household per day D) Adequate food supplies to last 3 days
When the nurse gathers all the equipment needed for a particular procedure and arranges the cli-ent's room for proficient implementation of the procedure, the nurse is displaying:
1. Multitasking 2. Organization 3. Effectiveness 4. Professionalism