A man has been taken to the emergency department after passing out while repairing the roof on his house. The temperature outside is 96° F and his skin is warm and dry. How should the nurse obtain his temperature?
A. Axillae
B. Rectal
C. Oral
D. Temporal
B
Sites reflecting core temperature are more reliable indicators of body temperature than sites reflecting surface temperature, such as the armpit or axillae.
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A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation. What should nutritional interventions include?
a. Frequent small meals high in carbohydrates b. Calorie-restricted meals c. Caffeine-rich beverages d. Fluid restrictions
A 16-year-old client diagnosed with schizophrenia spectrum disorder experiences command hallucinations to harm others. The client's parents ask a nurse, "Where do the voices come from?" Which is the appropriate nursing response?
1. "Your child has a chemical imbalance of the brain, which leads to altered perceptions." 2. "Your child's hallucinations are caused by medication interactions." 3. "Your child has too little serotonin in the brain, causing delusions and hallucinations." 4. "Your child's abnormal hormonal changes have precipitated auditory hallucinations."
The patient is scheduled for removal of an abscessed tooth. While providing discharge teaching, the nurse informs the patient to:
A) Rinse the mouth with alcohol. B) Use warm saline to rinse the mouth. C) Brush around the area with a firm toothbrush. D) Use a toothpick to dislodge any debris that gets lodged in the socket.
A primigravida is admitted to the birth setting in early labor. She is 3 cm dilated, -2 station, with intact membranes and FHR of 150 bpm. Her membranes rupture spontaneously, and the FHR drops to 90 bpm with variable decelerations
The initial response from the nurse would be to: 1. Perform a vaginal exam. 2. Notify the physician. 3. Place the patient in a left lateral position. 4. Administer oxygen at 2 L per nasal cannula.