The nurse needs to assess the body temperature of a client who has just smoked a cigarette and consumed hot coffee. Which temperature assessment method should the nurse use?
A) Axillary
B) Temporal artery
C) Tympanic
D) Rectal
Answer: C
Since the oral method cannot be used because the client smoked a cigarette and consumed hot coffee, the assessment method of choice would be the tympanic membrane. This method is readily accessible and reflects the core temperature very quickly. The rectal method is inconvenient and uncomfortable for clients. The temporal artery method requires special electronic equipment. The axillary method takes a long time if an accurate measurement is to be obtained.
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The nurse is caring for a patient receiving chemotherapy for breast cancer. The patient has developed a sore mouth, nausea and vomiting, and anorexia. How should the nurse respond to the patient's report of symptoms?
1. "You may be developing the flu, and I can give you an antinausea medication." 2. "These are symptoms of your cancer, and more frequent oral care will help." 3. "You may be allergic to the chemotherapy. I will place a call to the health care provider." 4. "These are the expected side effects of your chemotherapy, and the health care provider has already ordered some medications that will help."
A nurse is writing a nursing diagnosis at the community level using the North American Nursing Diagnosis Association (NANDA) system as a guide. Which of the following diagnoses would most likely be developed?
a. Risk of hypertension related to poor diet and sedentary lifestyle b. Risk of obesity among school-age children related to lack of opportunities to engage in physical activity c. Risk of ineffective health maintenance among individuals who do not have access to a primary care provider d. Ineffective coping related to multiple stressors, as evidenced by client crying and stating she has no support system
The patient tells the nurse that her 12-year-old child asks to use her nail polish remover several times a day. When her friends come to visit, this seems to occur more frequently. What is the best response by the nurse?
1. "Your daughter may be 'huffing'; that is really scary." 2. "Your daughter may be 'huffing' or inhaling the remover." 3. "Your daughter may be 'huffing' or drinking small amounts of the remover." 4. "Your daughter may be 'huffing' or rubbing the remover on her skin."
A nurse is caring for a student who has received a scholarship to play soccer in college. Which information shared by the nurse is accurate? Select all that apply.
A) Most ergogenic aids are safe and effective. B) You may benefit from taking sodium bicarbonate C) Creatine is a type of protein substitute. D) Certain ergogenic aids may cause unwanted side effects. E) Caffeine stimulates muscles to use fat as fuel.