The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4 F. The mother was concerned that her daughter might be ill. Which of the following is the best response?

"When taking multiple temperature, the sites should be rotated."

"Because of her age, it is probably a bacterial infection."

"Children usually run lower rather than higher temperatures when ill."

"Rectal temperature readings are higher than temperature obtained orally."

Answer and Explanation

The Correct Answer is D

A. "When taking multiple temperatures, the sites should be rotated.":
This does not address the mother’s concern about the specific temperature reading and its significance.

B. "Because of her age, it is probably a bacterial infection.":
A temp of 100.4°F is low-grade and not diagnostic of bacterial infection, especially in an infant without other symptoms.

C. "Children usually run lower rather than higher temperatures when ill.":
Children often run higher fevers when ill, not lower.

D. "Rectal temperature readings are higher than temperature obtained orally.":
Rectal temperatures are typically 0.5°F to 1°F higher than oral readings. A rectal temp of 100.4°F is considered the threshold for fever in infants but may still be within normal for a well-appearing child.

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Correct Answer is A

Explanation

A. Place the client’s arm above the level of the heart:
The arm should be at heart level. Positioning it above the heart can lead to a falsely low BP reading.

B. Check the instrument gauge to ensure the reading starts at zero:
This ensures that the starting point is accurate, avoiding false readings.

C. Center the cuff bladder over the brachial artery:
Correct placement of the cuff ensures accurate compression of the artery during measurement.

D. Wrap the blood pressure cuff snugly around the arm:
The cuff should be snug but not tight, which helps in getting an accurate reading.

A. Cleanse the wound with sterile saline. B. Don sterile gloves C. Swab the wound bed with a sterile cotton-tipped swab D. Place the collection tube in a specimen bag.

Correct Answer is A

Explanation

A. Cleanse the wound with sterile saline:
This removes surface contaminants, ensuring the specimen reflects organisms within the wound, not contaminants from the skin.

B. Don sterile gloves:
While sterile technique is important, cleansing the wound must occur before donning sterile gloves to prevent contaminating the site.

C. Swab the wound bed with a sterile cotton-tipped swab:
This is done after cleansing the wound to collect an accurate sample.

D. Place the collection tube in a specimen bag:
This is the final step after the specimen is collected.

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The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4 F. The mother was concerned that her daughter might be ill. Which of the following is the best response?

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The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4 F. The mother was concerned that her daughter might be ill. Which of the following is the best response?