A young adult client presents to the clinic complaining of a sore throat, swollen glands, and fever following oral surgery for extraction of impacted wisdom teeth
In order to complete the initial assessment of this client, the nurse needs to obtain the client's temperature. Which method should the nurse choose for this assessment? 1. Oral
2. Tympanic
3. Rectal
4. Axillary
2
Rationale 1: The nurse would not want to use the oral route for this client since the client has recently had oral surgery.
Rationale 2: The nurse should take the client's temperature using a tympanic thermometer. Infection may be a concern in this client; therefore, an accurate temperature is necessary. Using the ear for temperature assessment is quick, noninvasive, and reliable.
Rationale 3: A rectal temperature is invasive and unnecessary in the assessment of this client's temperature.
Rationale 4: The axillary route is sometimes used in the temperature assessment of infants and children. It is considered the least accurate method of measurement.
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