The nurse is obtaining the initial vital signs on a client in the emergency department (ED) with seizure activity of unknown etiology. Which method is most appropriate for the nurse to use when assessing the client's temperature?
1. Axillary.
2. Oral.
3. Rectal.
4. Tympanic.
Correct Answer: 3
A rectal temperature should be taken if the client is comatose, confused, having seizures, or unable to close the mouth. Although axillary is the safest, it is also the least accurate. Both oral and tympanic require the client's cooperation in order to maintain safety, which is not possible during seizure activity.
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