A mother brings her 3-year-old daughter to the emergency department because the child has been vomiting and having diarrhea for the past 36 hours. When assessing this child'stemperature, which method would be least appropriate?
Tympanic
Oral
Axillary
Rectal
The Correct Answer is D
A. TympaniC. Tympanic temperature measurement using an ear thermometer is a convenient and accurate method for assessing temperature in children, including toddlers.
B. Oral: Oral temperature measurement using a digital thermometer placed under the tongue is a commonly used method for children who can cooperate with the procedure and keep the
thermometer in their mouth.
C. Axillary: Axillary temperature measurement using a thermometer placed in the armpit is a non-invasive method suitable for children who cannot cooperate with oral or tympanic
measurements or when rectal measurement is contraindicated.
D. Rectal: Rectal temperature measurement is generally considered the most accurate method for assessing temperature in infants and young children, especially when accuracy is critical.
However, it may be less appropriate in the emergency department setting due to its invasive nature and potential discomfort for the child, especially in cases of diarrhea or vomiting where rectal temperature measurement may be difficult or impractical.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You should leave the room while the tantrum is happening.": Leaving the room during a
toddler's tantrum may not be the most effective strategy, as it may reinforce the behavior or make the child feel abandoned. It is generally recommended to stay nearby and provide support and guidance during tantrums.
B. "Temper tantrums are the toddler's attempt to gain control of a situation.": Temper tantrums are often a normal part of toddler development and can occur when toddlers feel frustrated, overwhelmed, or unable to express their needs effectively. Understanding that tantrums are a way for toddlers to assert some control over their environment can help parents respond appropriately.
C. "Temper tantrums are a type of learning disability.": Temper tantrums are not indicative of a learning disability. While they can be challenging for parents to manage, they are typically considered a normal phase of development and are not associated with cognitive impairments.
D. "You should get a psychological consult for the temper tantrums.": Seeking psychological consultation for temper tantrums may be unnecessary unless there are other concerning behaviors or developmental delays present. Tantrums are typically addressed through behavior
management techniques and parent education rather than psychological intervention.
Correct Answer is C
Explanation
A. Carotid artery: The carotid artery is not typically used to assess heart rate in infants due to its location and difficulty in palpation.
B. Radial artery: The radial artery is not typically used to assess heart rate in infants, especially in non-cooperative or newborn infants.
C. Apex of the heart: Assessing the heart rate by auscultating the apex of the heart with a stethoscope is the most accurate method for infants.
D. Brachial artery: The brachial artery is not typically used to assess heart rate in infants. It is commonly used to measure blood pressure.
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