Which would be best for the nurse to use when determining the temperature of a preterm infant under a radiant heater?

a. Axillary sensor
b. Tympanic membrane sensor
c. Rectal mercury glass thermometer
d. Rectal electronic thermometer


ANS: A
The axillary sensor measures the infrared heat energy radiating from the axilla. It can be used on wet skin, in incubators, or under radiant warmers. Ear thermometry does not show sufficient correlation with established methods of measurement. It should not be used when body temperature must be assessed with precision. Mercury thermometers should never be used. The release of mercury, should the thermometer be broken, can cause harmful vapors. Rectal temperatures should be avoided unless no other suitable way exists for the temperature to be measured.

Nursing

You might also like to view...

The nurse is evaluating care provided to a new mother whose infant is at risk for sudden death syndrome (SIDS). Which statement by the mother indicates teaching has been effective?

A) "I need to purchase loose-fitting sheets and blankets for the bed." B) "I plan to quit smoking." C) "I will place my baby in a side-lying position for sleep." D) "I will bottle-feed my baby since breastfeeding is a risk factor for SIDS."

Nursing

What type of abuse is demonstrated by restraining an older adult in a recliner?

a. Physical abuse b. Neglect c. Emotional abuse d. Self-neglect

Nursing

The nurse is giving report to the next shift and describes how it is important to maintain a regular schedule for Mr. Jones, a confused elderly man who wanders. Why is it important for this in-tervention to be maintained?

a. Regular routine helps nurses find the pa-tient early if he wanders. b. Regular routine decreases his confusion. c. Regular routine decreases wandering. d. Regular routine decreases stress.

Nursing

A client is receiving a continuous intravenous infusion. What should the nurse document in the medical record about this infusion?

1. Latest body temperature 2. Type of solution and flow rate 3. Total intravenous intake for the shift 4. Status of the intravenous catheter site 5. Results of blood pressure measurement

Nursing