A nurse is measuring an adult client's tympanic temperature. Which of the following actions should the nurse take?

Use a cotton-tipped applicator to remove cerumen.

Insert the probe snugly into the ear canal and press scan.

Pull the pinna downward and backward.

Hold the probe flat against the forehead and press scan.

Answer and Explanation

The Correct Answer is B

A. Use a cotton-tipped applicator to remove cerumen:
Inserting objects like cotton-tipped swabs into the ear canal is unsafe and can cause damage; not recommended for clearing earwax before temperature measurement.

B. Insert the probe snugly into the ear canal and press scan:
This is the correct method to ensure an accurate tympanic temperature reading.

C. Pull the pinna downward and backward:
This is correct for children under 3 years, not for adults.

D. Hold the probe flat against the forehead and press scan:
This technique is for a temporal artery thermometer, not tympanic.

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Correct Answer is A

Explanation

A. Carotid:
Palpating both carotid arteries at the same time can occlude blood flow to the brain, potentially leading to fainting or loss of consciousness.

B. Femoral:
Femoral pulses can be palpated bilaterally without risk to cerebral circulation.

C. Popliteal:
Popliteal pulses are in the legs and can be checked simultaneously.

D. Brachial:
Brachial pulses are safe to assess bilaterally and often checked when comparing arm circulation.

A. Temperature B. Pulse oximetry C. Respiratory rate D. Blood pressure E. Mucous membrane color

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"}}

Explanation

Finding	Assessment	Rationale
Temperature: 38.6°C	Worsened	The temperature increased from 38.2°C to 38.6°C, suggesting worsening fever or infection.
Pulse oximetry: 95% on 40% O₂	Improved	The client’s oxygen saturation increased from 85% to 95%, though with supplemental O₂, showing improved oxygenation.
Respiratory rate: 22/min	Improved	RR decreased from 32 to 22, indicating better respiratory effort and less distress.
Blood pressure: 112/54 mmHg	Unchanged	Minimal change from 114/56 to 112/54; both readings are within similar ranges.
Mucous membrane color: pink	Improved	Pink mucous membranes indicate improved oxygenation and perfusion, compared to pale earlier.

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A nurse is measuring an adult client's tympanic temperature. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client. Exhibits For each finding at 1100, click to specify if the finding indicates that the client's condition has improved, worsened, or is unchanged.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"}}

Explanation

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