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 minutes, and measure the temperature.
Wait 30 minutes and return to measure the oral temperature.
The Correct Answer is D
A: Proceeding to measure the oral temperature immediately after the client has eaten ice chips is not appropriate. The cold temperature can affect the accuracy of the reading.
B: Documenting that the nurse was unable to measure the client’s temperature is unnecessary. The nurse can take steps to ensure an accurate measurement by waiting.
C: Providing the client a sip of warm water and waiting 5 minutes is not sufficient to counteract the effect of the ice chips on the oral temperature reading.
D: Waiting 30 minutes before measuring the oral temperature is the correct action. This allows time for the oral cavity to return to its normal temperature, ensuring an accurate reading.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Proceeding to measure the oral temperature immediately after the client has eaten ice chips is not appropriate. The cold temperature can affect the accuracy of the reading.
B: Documenting that the nurse was unable to measure the client’s temperature is unnecessary. The nurse can take steps to ensure an accurate measurement by waiting.
C: Providing the client a sip of warm water and waiting 5 minutes is not sufficient to counteract the effect of the ice chips on the oral temperature reading.
D: Waiting 30 minutes before measuring the oral temperature is the correct action. This allows time for the oral cavity to return to its normal temperature, ensuring an accurate reading.
Correct Answer is B
Explanation
A: Vitamin D is important for bone health and immune function but is not the primary nutrient for wound healing.
B: Protein is essential for wound healing. It provides the building blocks (amino acids) necessary for tissue repair and regeneration. Adequate protein intake supports the formation of new tissue and the healing process.
C: Vitamin B is important for energy metabolism and overall health but is not the primary nutrient for wound healing.
D: Calcium is crucial for bone health and muscle function but is not the primary nutrient for wound healing. Protein plays a more direct role in the repair and regeneration of tissues.
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