When planning to assess a client's temperature, the nurse realizes that the safest, least invasive method of temperature measurement is:
1. Rectal
2. Oral
3. Axillary
4. Tympanic membrane
3
Rationale: While rectal temperature measurement is the most reliable, it is the most invasive, and can cause injury to rectum
You might also like to view...
Nerve agents are powerful acetylcholesterase inhibitors that affect the body by altering cholinergic synaptic transmission at all of the following places EXCEPT:
a. neuroeffector junctions c. cardiac myoneural junctions b. skeletal myoneural junctions d. in the central nervous system
Which of the following contribute to kidney shrinkage and a decrease in glomerular filtration rates? Select all that apply
a. Glomerular degeneration b. Thickening of glomerular and tubular basement membranes c. Decreased length of proximal and distal tubes d. Enhanced ability to dilute e. Increased urine concentration f. Decreased renal blood flow
A parent asks the nurse about negativism in toddlers. The most appropriate recommendation is to
a. Punish the child b. Provide more attention c. Ask the child to not always say "no" d. Reduce the opportunities for a "no" answer
What is the MOST common cause of atelectasis?
a. A bronchiole becomes blocked with secre-tions, and distal alveoli collapse. b. Alveoli distal to the affected bronchiole become overdistended with trapped air, and they rupture. c. Bronchi within the affected portion of the lung become chronically dilated. d. Pressure inside the affected portion of the lung has become less than the pressure outside the body.