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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Using a designated interpreter ensures that communication is accurate and professional, minimizing the risk of misunderstandings. Facilities often have protocols for accessing interpreters who are trained to handle medical conversations, making this the safest choice.
B. While electronic translating services can be useful, they are not always reliable for medical situations. These services may lack the necessary context for medical terminology and nuances, and they may not ensure confidentiality or accuracy.
C. Involving the client’s partner as an interpreter can lead to issues of accuracy, bias, and confidentiality. The partner may not fully understand medical terminology, and there is a potential for miscommunication or emotional involvement that could affect the interpretation.
D. While this option may seem helpful, it is not ideal. Using a colleague as an interpreter can compromise the confidentiality and professionalism of the interaction. Additionally, the colleague may not have the training necessary to accurately convey medical information, and there might be a conflict of interest.

A. Dispose of used razors in wastebaskets. B. Use two hands to recap a needle after administering a medication. C. Break needles on syringes before disposal. D. Replace sharps containers when they are full.

Correct Answer is D

Explanation

A. Used razors should never be disposed of in regular wastebaskets as they pose a significant risk for puncture injuries. Instead, they should be placed in a designated sharps container to prevent accidental cuts or injuries to anyone handling the waste.
B. The practice of using two hands to recap a needle is not recommended because it increases the risk of a needlestick injury. Instead, nurses should use a one-handed technique or a safety device designed for recapping needles to minimize the risk of injury.
C. Needles should not be broken off from syringes before disposal, as this can create sharp edges that can puncture the skin and lead to injuries. Instead, syringes with needles should be disposed of intact in a designated sharps container.
D. Sharps containers should be replaced when they are full to ensure safe disposal of needles and other sharp instruments. Overfilled containers can pose a risk of needlestick injuries and may not allow for proper disposal of new sharps.

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 admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assisting with teaching a newly licensed nurse about preventing puncture injuries. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

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

A nurse looks up information in a client's medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional performance?

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 nurse is assisting with preparing an educational session at a community health center about the social determinants of health (SDOH). Which of the following information should the nurse include?

A charge nurse is providing an in-service to a group of nurses on the different levels of illness prevention. The nurse should include which of the following as an example of secondary prevention?

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 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?

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?