The nurse is monitoring for signs and symptoms of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided?
Orally
Tympanic
Rectal
Axillary
The Correct Answer is C
A. Orally: Oral temperature measurement is generally not suitable for a 1-year-old because they are often not able to cooperate, but it is not contraindicated for the child.
B. Tympanic: Tympanic (ear) temperature measurement is acceptable in children over 3 months old and is non-invasive.
C. Rectal: Rectal temperature should be avoided in infants and toddlers with diarrhea due to the risk of rectal trauma and infection. Diarrhea may also cause irritation to the rectal area, increasing the risk of injury.
D. Axillary: Axillary (underarm) temperature measurement is safe and commonly used in children, particularly for non-invasive monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nitroglycerin: Nitroglycerin is a vasodilator used primarily for angina and heart conditions, not enuresis.
B. Atenolol: Atenolol is a beta-blocker for hypertension or arrhythmias, not for enuresis.
C. Diltiazem: Diltiazem is a calcium channel blocker for cardiovascular conditions.
D. Desmopressin (DDAVP): This synthetic antidiuretic hormone reduces nighttime urine production, effectively treating enuresis.
Correct Answer is D
Explanation
A. Wrist: Wrist restraints do not prevent the infant from touching their mouth.
B. Mummy: A mummy restraint immobilizes the entire body, which is unnecessary and can cause distress.
C. Jacket: Jacket restraints are not appropriate or indicated for postoperative care of cleft lip and palate.
D. Elbow: Elbow restraints prevent the infant from bending their arms and touching or disrupting the surgical repair site.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.