The nurse prepares to assess a client's temperature.
Which should the nurse keep in mind that can falsely lower the body temperature? (Select all that apply.)

Drinking something cold.

Exercising.

An outdoor temperature of 99°F.

A cold climate.

Physical inactivity.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale:

Drinking something cold can lower the oral temperature temporarily. When a person consumes something cold, the blood vessels in the mouth can constrict, leading to a lower temperature reading. However, it's important to note that this effect is temporary.

Choice B rationale:

Exercising can increase blood circulation and raise body temperature. However, immediately after intense physical activity, the body might start sweating, leading to a temporary drop in temperature. Prolonged or moderate exercise, on the other hand, generally increases body temperature.

Choice C rationale:

An outdoor temperature of 99°F does not directly affect body temperature. Body temperature is regulated internally and does not fluctuate based on external temperatures unless the person is exposed to extreme conditions for a prolonged period.

Choice D rationale:

A cold climate might lower skin temperature, but it does not necessarily reduce the body's core temperature significantly. The body has mechanisms to conserve heat in colder environments.

Choice E rationale:

Physical inactivity can lower body temperature, especially in situations where the person is sedentary for an extended period. Reduced physical activity can slow down metabolic processes, leading to a lower body temperature.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale: Using a fire extinguisher is part of containment, but it follows evacuation. Attempting to extinguish before removing clients violates RACE protocol and risks patient injury from smoke or electrical fire.

Choice B rationale: Activating the fire alarm initiates emergency response but comes after client rescue. Per RACE (Rescue, Alarm, Contain, Extinguish), client safety is prioritized before system-wide alerts.

Choice C rationale: Moving clients to safety is the first step in fire response. It aligns with the “Rescue” phase of RACE, ensuring immediate protection from smoke inhalation, electrical hazards, and fire spread.

Choice D rationale: Confine by closing doors and windows is part of containment, which follows rescue and alarm activation. It helps limit fire spread but is not the initial priority in patient-centered emergencies.

A. Wear a mask when entering the client's room. B. Remove potted plants from the room. C. Allow the client to leave the room every 2 hours. D. Dedicate equipment and supplies for use with the client.

Correct Answer is D

Explanation

Choice A rationale:

Healthcare-associated infections (HAIs) do not necessarily occur due to compromised immunity. HAIs refer to infections that patients acquire while receiving treatment for medical or surgical conditions, and they can happen to individuals with varying levels of immunity.

Choice B rationale:

While infections during therapeutic procedures are a concern, not all healthcare-associated infections occur during such procedures. HAIs can happen in various healthcare settings and not limited to therapeutic procedures.

Choice C rationale:

Inhaling pathogens in a healthcare setting might lead to infections, but not all healthcare-associated infections happen due to inhalation. HAIs can occur through different modes of transmission.

Choice D rationale:

Healthcare-associated infections (HAIs) occur when a patient acquires an infection while receiving care in a healthcare setting, including hospitals. This can involve various sources, such as contaminated medical equipment, surgical procedures, or interactions with healthcare personnel.

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The nurse prepares to assess a client's temperature.Which should the nurse keep in mind that can falsely lower the body temperature? (Select all that apply.)

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The nurse prepares to assess a client's temperature.
Which should the nurse keep in mind that can falsely lower the body temperature? (Select all that apply.)