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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Social determinants of health refer to the social and economic conditions that influence health outcomes. This includes factors such as income, education, employment, social support, and access to healthcare. These conditions can significantly impact an individual's overall well-being and health status.
B. While ethnic background can influence health outcomes and access to resources, SDOH are broader and encompass various factors, including socioeconomic status, geographic location, and education level, rather than being solely determined by ethnicity. Therefore, this option oversimplifies the concept of SDOH.
C. Identifying and understanding SDOH is essential for addressing and reducing health disparities, not increasing them. By recognizing these determinants, healthcare providers and policymakers can develop targeted interventions and policies to improve health equity and access to care.
D. While psychological factors, such as mental health and stress, can influence health outcomes, they are not typically categorized under the traditional definition of social determinants of health. SDOH primarily focus on social, economic, and environmental conditions rather than individual psychological factors. However, mental health can be affected by social determinants.
Correct Answer is ["A","B","C","E"]
Explanation
A. Diversity, which emphasizes the importance of inclusivity and respect for the varied backgrounds and perspectives within the nursing community.
B. Professionalism is another key value, highlighting the need for integrity, responsibility, and excellence in the nursing profession.
C. Advocacy is also central to the NSNA's ethical framework, as it involves working on behalf of others to promote health and well-being.
D. While Safety is a crucial aspect of nursing practice, it is not explicitly listed as part of the NSNA's core values according to the information available.
E. Quality Education is recognized as a fundamental value, ensuring that student nurses receive the knowledge and training necessary to provide high-quality care.
F. While confidentiality is a crucial aspect of nursing practice, it is not explicitly listed as part of the NSNA's core values according to the information available.
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