When measuring temperature on a client who comes to the clinic drinking coffee, the nurse would use what route?
1. Oral
2. Rectal
3. Tympanic
4. Axillary
3
Rationale: The best route for measuring temperature would be tympanic. Oral is contraindicated because the client is drinking hot coffee. Axillary would be less accurate than would tympanic. Rectal would be embarrassing for the client, and is not required in order to get an accurate temperature.
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The nursing student is giving a bath to a client on the first clinical day. The physician arrives and removes a wound dressing, and tells the student to redress the wound. Which of the following actions should the student take?
1. Tell the doctor that wound dressings have not been covered in class yet. 2. Cover the wound with gauze. 3. Perform the dressing change. 4. Seek assistance from the instructor or nurse assigned to the client.
A man returns to the emergency department (ED) after receiving 10 stitches for a knife wound while cleaning fish. The wound is now infected. The stitches are removed and the wound is cleaned and packed with gauze
The ED instructs the man to return the next day to remove the packing and resuture the wound. The nurse is aware that the wound will now heal by: A) Late intention B) Second intention C) Third intention D) First intention
The parents of an infant report that the baby is fussy all of the time and does not eat or sleep well. Which action by the nurse is most appropriate?
A) Giving the baby medicine for colic B) Drawing blood for laboratory work C) Feeding the baby D) Observing the interactions between the parents and the infant
Antiviral drugs have limited use because they are effective against only a small number of specific viral infections. The nurse would expect antiviral drugs to be used for which infection? Select all that apply
A) Human immunodeficiency virus (HIV) B) Herpes simplex virus (HSV) C) Cytomegalovirus (CMV) D) Rotavirus E) Rhinovirus