A nurse is ready to take the temperature of an adult patient who has just ingested a hot cup of tea. The nurse's most appropriate action would be to:
A. take a rectal temperature.
B. take the oral temperature as planned.
C. ask the patient to rinse her mouth out with cold water.
D. wait 30 minutes and take the oral temperature at that time.
D
A rectal temperature is taken when oral route is difficult or impossible to obtain. Oral temperatures are inaccurate when the patient has recently ingested hot or cold fluids. Hot or cold substances will cause false temperature readings.
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The patient has a low serum sodium level and a high serum potassium level. In normal compensation, what body function would increase?
A) Proximal tubule reabsorption of sodium B) Conversion of angiotensin II to renin C) Secretion of aldosterone D) Response to diuretic therapy
Neurovascular status by the nurse is frequently referred to as CMS assessment. The abbreviation CMS refers to:
A) Color, movement, and sensitivity B) Circulation, motion, and sensation C) Clonus, moving, and stiffness D) Contracture, muscles, and spasm
A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease?
A) Playing in the woods about a week ago B) Rash is papular and vesicular C) High fever occurring about 4 days before the rash D) Complaints of extreme pruritus with visible nits
Osteoporosis is a major cause of ________ in postmenopausal women.
Fill in the blank(s) with the appropriate word(s).