A nurse is assessing a client's body temperature using a temporal artery thermometer. How should the nurse use the temporal artery thermometer?

Insert the thermometer into the rectum for accurate measurement.

Place the thermometer in the client's axilla and secure with a towel.

Swipe the thermometer gently across the client's forehead.

Hold the thermometer under the client's tongue for 30 seconds.

Answer and Explanation

The Correct Answer is C

Answer: c. Swipe the thermometer gently across the client's forehead.

Explanation: Temporal artery thermometers are used by swiping the thermometer gently across the client's forehead. The device measures the temperature of the temporal artery, which correlates with core body temperature.

a. Inserting the thermometer into the rectum is not the appropriate method for using a temporal artery thermometer.

b. Placing the thermometer in the axilla is appropriate for axillary temperature measurement but not for temporal artery thermometers.

d. Holding the thermometer under the tongue is appropriate for oral temperature measurement but not for temporal artery thermometers.

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Correct Answer is D

Explanation

Answer: d. 86%

Explanation: An oxygen saturation level of 86% indicates severe hypoxemia and requires immediate intervention to ensure adequate oxygenation.

a. Oxygen saturation levels of 95% are within the normal range and do not require immediate intervention.

b. Oxygen saturation levels of 92% are relatively low but may not require immediate intervention depending on the client's clinical condition.

c. Oxygen saturation levels of 89% indicate significant hypoxemia and require intervention, but immediate intervention is required at a level of 86%.

A. Recheck the blood pressure using a different cuff size. B. Document the blood pressure findings as the only action required. C. Administer an antihypertensive medication immediately. D. Notify the healthcare provider of the elevated blood pressure.

Correct Answer is D

Explanation

Answer: d. Notify the healthcare provider of the elevated blood pressure.

Explanation: A blood pressure reading of 160/100 mmHg indicates hypertension and requires further evaluation by the healthcare provider to determine appropriate management.

a. Rechecking the blood pressure with a different cuff size may be appropriate if the initial reading was inaccurate, but it does not address the elevated blood pressure result.

b. Documenting the finding is important, but further action is required for elevated blood pressure.

c. Administering antihypertensive medication without consulting the provider is not appropriate; medication decisions should be made by the healthcare provider.

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A nurse is assessing a client's body temperature using a temporal artery thermometer. How should the nurse use the temporal artery thermometer?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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