The nurse knows that measuring temperature is an integral part of assessment. Which concept is important for the nurse to know when taking a child's temperature?
a. The method used should be consistent.
b. Rectal temperatures should always be taken on infants.
c. Oral temperatures can be taken on all children older than 5 years of age.
d. Axillary temperatures should be taken at night.
A
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A The method that is determined most appropriate for the child should be used
consistently—the same site and device to maintain consistency and allow
reliable comparison and tracking of temperatures over time.
B Because of the risk of rectal perforation and the intrusive nature of the
procedure, rectal temperatures are measured only when no other route can be
used or when it is necessary to obtain a core body temperature.
C Oral temperatures can be used on most children older than 6 years of age but
may be inaccurate because of oral intake, oral surgery, oxygen therapy, nebulizer
treatments, or crying.
D The method of measuring temperature should be consistent, including at night.
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