A nurse is assessing a client's body temperature using a tympanic thermometer. How should the nurse position the thermometer for accurate measurement?
Place the thermometer in the client's mouth.
Insert the thermometer into the client's rectum.
Aim the thermometer at the client's forehead.
Position the thermometer in the client's ear canal.
The Correct Answer is D
Answer: d. Position the thermometer in the client's ear canal.
Explanation: Tympanic thermometers are used by positioning the thermometer in the client's ear canal to obtain an accurate measurement of body temperature.
a. Placing the thermometer in the mouth is appropriate for oral temperature measurement but not for tympanic thermometers.
b. Inserting the thermometer into the rectum is appropriate for rectal temperature measurement but not for tympanic thermometers.
c. Aiming the thermometer at the forehead is appropriate for temporal artery thermometers but not for tympanic thermometers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer: a. Cover the client with warm blankets.
Explanation: Shivering and goosebumps are signs of the body's attempt to increase body temperature. The nurse should cover the client with warm blankets to prevent heat loss and promote comfort.
b. Administering an antipyretic medication is not appropriate in this scenario as shivering and goosebumps indicate the body's attempt to increase body temperature, not fever.
c. Applying cool compresses is not appropriate when the client is experiencing shivering and goosebumps, as the goal is to prevent heat loss.
d. Notifying the healthcare provider immediately is not necessary based on shivering and goosebumps alone, as they are normal physiological responses to cold or low body temperature.
Correct Answer is D
Explanation
Answer: d. Rectal Explanation: The rectal route provides the most accurate measurement of core body temperature as it reflects the temperature of blood perfusing the hypothalamus, which regulates body temperature.
a. The oral route is commonly used and provides a convenient method for temperature measurement but may be influenced by oral intake and respiratory route, making it slightly less accurate.
b. The axillary route is less invasive and easier to use, but it tends to underestimate core body temperature.
c. The temporal route provides a quick measurement but may not be as accurate as the rectal route, especially in certain populations.
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