Which distance does the nurse use for inserting a rectal thermometer in an adult?
1. inch
2. inches
3. 2 inches
4. inches
2
2. The nurse inserts the thermometer 1 to inches to obtain a rectal temperature on an adult to place the sensor tip deep enough into the rectum to eliminate environmental effects but not too deep to risk penetration or trauma to intestinal tissue.
1, 3, and 4. One-half inch is not far enough and more than inches is too far.
You might also like to view...
A female patient with a diagnosis of breast cancer had a unilateral mastectomy with axillary node biopsy
The results of the biopsy have just come back positive, and the nurse and a coworker are discussing the patient's possible response to this news. Which of the following statements by the coworker should the nurse correct or respond to with teaching? A) "If she finds out about this too quickly, she might lose hope in her battle with cancer." B) "All considered, it's best if she's told this sooner rather than later." C) "Ideally, her family will be around when she learns about her biopsy results." D) "This will be hard to hear, but she deserves to know as much detail as she wants."
The entire surgical team is responsible for prevention of infection, and maintaining the sterile field in the operating room in the area that includes:
a. all members of the sterile team c. the client and the surgical site itself b. all members of the surgical team d. the entire operating room
A diabetic comes to the clinic complaining of a vaginal discharge and being "sore" and having genital itiching. She is diagnosed with trichomoniasis. Because this patient is a diabetic she is at higher risk of also having what?
A) Dysuria B) Vulvitis C) Bartholin's cyst D) Candidiasis
Your client is talking about suicide after losing his wife in an automobile accident. He has been treated for depression for the past 5 years and has resumed drinking since her death. He is angry with God for taking her
What nursing diagnosis would be most appropriate? 1. Ineffective coping 2. Readiness for enhanced spiritual well-being 3. Risk for spiritual distress 4. Spiritual distress