A nurse is in the process of taking a patient’s oral temperature.
The patient informs the nurse that they have just consumed some ice chips. What should the nurse do next?

Record that the nurse was unable to take the patient’s temperature.

Continue to take the oral temperature.

Wait for 30 minutes and then return to take the oral temperature.

Give the patient a sip of warm water, wait for 5 minutes, and then take the temperature.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Recording that the nurse was unable to take the patient’s temperature would not be the most appropriate action in this situation. The nurse can wait for a certain period of time and then take the patient’s temperature.

Choice B rationale

Continuing to take the oral temperature immediately after the patient has consumed ice chips could result in an inaccurately low temperature reading. The cold from the ice chips can temporarily lower the temperature in the mouth.

Choice C rationale

Waiting for 30 minutes and then returning to take the oral temperature is the most appropriate action. Consuming cold substances can lower the oral temperature temporarily, so it’s recommended to wait 15-30 minutes after the patient has consumed something cold before taking an oral temperature.

Choice D rationale

Giving the patient a sip of warm water, waiting for 5 minutes, and then taking the temperature is not the standard procedure. While it might help to normalize the temperature in the mouth more quickly, it’s generally recommended to wait at least 15-30 minutes after the patient has consumed something cold before taking an oral temperature.

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Correct Answer is A

Explanation

A. “I stopped taking aspirin last week.”. B. “I took my blood pressure meds with a sip of water.”. C. “I did not put my contact lenses in this morning.”. D. “I had a cough and runny nose a couple days ago.”. .

Correct Answer is D

Explanation

Choice A rationale

Stopping aspirin a week before surgery is generally recommended to reduce the risk of bleeding. Aspirin can inhibit platelet aggregation and prolong bleeding time.

Choice B rationale

Taking prescribed blood pressure medication with a sip of water on the day of surgery is usually allowed. However, this can depend on the specific medication and the patient’s health status.

Choice C rationale

Not wearing contact lenses on the day of surgery is a standard preoperative instruction. This is because contact lenses can interfere with anesthesia administration and potentially cause injury to the eyes.

Choice D rationale

A recent cough and runny nose could indicate a respiratory infection. This could potentially increase the risk of complications during surgery and may need to be evaluated further. OK. Let’s go through these questions one by one:

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A nurse is in the process of taking a patient’s oral temperature.The patient informs the nurse that they have just consumed some ice chips. What should the nurse do next?

Nursing Test Bank

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A nurse is in the process of taking a patient’s oral temperature.
The patient informs the nurse that they have just consumed some ice chips. What should the nurse do next?