A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select all that apply.)

A client who is drinking Ice water

A client who had recent oral surgery

A client who breaths through the mouth

A client who has hemorrhoids

A client who has a coagulation disorder

Answer and Explanation

Correct Answer : D,E

A.   If a client has just consumed ice water, it can lower the oral temperature and lead to inaccurate readings. It's generally recommended to wait at least 15-30 minutes after eating or drinking before taking an oral temperature.
B.   A client who has had oral surgery may have swelling, pain, or open wounds, which could make taking an oral temperature uncomfortable and could also lead to inaccurate results. Alternative sites, such as axillary or tympanic, might be preferred.
C.   Clients who primarily breathe through their mouth may have a lower oral temperature reading due to airflow affecting the measurement. Additionally, mouth breathing can lead to inaccuracies in the reading.
D.   While hemorrhoids themselves do not affect the ability to take an oral temperature, this client is suitable for oral temperature measurement since it does not interfere with the method.
E.   A client with a coagulation disorder can typically have their oral temperature taken. There are no contraindications to taking an oral temperature in this case, as long as the client does not have any other conditions affecting their ability to do so.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

A. This entry reflects the client’s personal experience and perception of the rash. It is not measurable and relies on the client’s description.

B. This statement is also based on the client’s experience and feelings about their condition after taking medication. It is a personal report and not an observable finding.
C. This is an observation made by the nurse. The description of the rash is measurable and can be documented as a physical finding.
D. Similar to options A and B, this entry describes the client’s perception of pain. It is a personal
experience that cannot be directly measured.
E. This is a measurable finding obtained through a thermometer. It provides concrete evidence of the
client’s condition and does not rely on the client’s report.

A. Teaching the client about exercise programs B. Recommending regular exams C. Assisting a 35-year-old female with a mammogram D. Educating the client about safe habits E. Assisting with transplant surgery

Correct Answer is ["E"]

Explanation

A. This reflects primary care. Teaching clients about exercise is aimed at promoting health and preventing disease, which is a fundamental aspect of primary healthcare.
B. This also pertains to secondary care. Regular exams are important for early detection of health issues, helping to catch problems before they become more serious. This activity does not reflect tertiary care.
C. This activity is related to secondary care. A mammogram is a screening tool used for early detection of breast cancer. Assisting with this procedure does not represent tertiary care, as it focuses on prevention and early diagnosis rather than treatment of an established condition.
D. This is another example of primary care. Educating clients about safe habits is aimed at promoting health and preventing injury or illness, which aligns with primary prevention efforts.
E. This is the correct choice and reflects tertiary care. Transplant surgery is a complex procedure that involves specialized medical intervention for individuals with severe health conditions. It is focused on treatment after a disease has progressed, which is characteristic of tertiary care.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting data collection findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

Which nursing activity reflects care given on the tertiary level of healthcare delivery? Select All that Apply

Correct Answer is ["E"]

Explanation

A nurse is preparing to administer insulin to a client who has type 1 diabetes mellitus. Which of the following types of prevention is the nurse demonstrating?

A nurse is reviewing the National Student Nurses Association (NSNA) website. Which of the following values are part of the NSNA code of ethics? (Select All that Apply.)

A nurse is preparing to reinforce education with a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?

A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?

A nurse is collecting data from a client who is postoperative. Which of the following findings should the nurse identify as objective data?(Select All that Apply.)

A nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The client's mouth is an example of which of the following links in the chain of infection?

A nurse is assisting with planning a staff in-service on hospital-acquired infections (HAIs). The nurse should explain that which of the following portal for types of HAIS are included in the Hospital-Acquired Condition Reduction Program (HACRP)?(Select All that Apply.)

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?