A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?

Proceed to measure the oral temperature.

Document that the nurse was unable to measure the client's temperature.

Provide the client a sip of warm water, wait 5 min, and measure the temperature.

Wait 30 min and return to measure the oral temperature.

Answer and Explanation

The Correct Answer is D

A. Proceeding to measure the oral temperature immediately after the client has consumed ice chips can lead to an inaccurate reading due to the cooling effect of the ice.

B. Documenting that the nurse was unable to measure the client's temperature is unnecessary; it is possible to obtain an accurate measurement after a suitable waiting period.

C. Providing a sip of warm water will not resolve the issue of the ice chips affecting the temperature reading, as the nurse should still wait a longer period for accuracy.

D. Waiting 30 minutes after the client has consumed ice chips is the best practice, as it allows sufficient time for the oral cavity to return to a baseline temperature for an accurate measurement.

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Correct Answer is D

Explanation

A. Using technical language can confuse the client and hinder understanding. Educational sessions should use clear and simple language.
B. Starting with the least important information may lead to client confusion or lack of retention of critical details about the medication. Important information should be prioritized.
C. Turning on the television can be distracting for the client, making it difficult for them to focus on the medication education. A quiet environment is more conducive to learning.
D. Providing educational material written at a 6th grade reading level ensures that the information is accessible and understandable for the client, promoting better comprehension and adherence to medication regimens.

A. Request a prescription for an oral formulation of the medication B. Administer the medication under the client's tongue C. Dissolve the medication in water and give it through the NG tube D. Administer the crushed medication through the NG tube

Correct Answer is A

Explanation

A. Requesting a prescription for an oral formulation of the medication is the appropriate action, as sublingual medications are designed to dissolve under the tongue and bypass the gastrointestinal tract, which is not feasible with an NG tube in place.

B. Administering the medication under the client's tongue is incorrect because the NG tube prevents effective absorption through the sublingual route.

C. Dissolving the medication in water and giving it through the NG tube defeats the purpose of sublingual administration and may not provide the desired therapeutic effect.

D. Administering the crushed medication through the NG tube is inappropriate for sublingual medications, as this can alter the medication's pharmacokinetics and effectiveness.

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A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?

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