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You have delegated vital signs to the assistive personnel. The assistant informs you that the patient has just finished a bowl of hot soup. The nurse's most appropriate advice would be to

A.

Walt 30 minutes and take an oral temperature

B.

Advise the patient to drink a glass of cold water

C.

Take a rectal temperature

D.

Take the oral temperature as planned

Answer and Explanation

The Correct Answer is A

A. Wait 30 minutes and take an oral temperature. Waiting 30 minutes ensures an accurate reading, as consuming hot or cold foods or drinks can alter oral temperature results.
B. Advise the patient to drink a glass of cold water. Drinking cold water could artificially lower the oral temperature, leading to an inaccurate measurement.
C. Take a rectal temperature. A rectal temperature is not necessary in this situation unless a core temperature is required for clinical reasons.
D. Take the oral temperature as planned. Taking the oral temperature immediately after hot soup can result in a falsely elevated reading, making it unreliable.
 


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Related Questions

Correct Answer is ["2"]

Explanation

Calculation:

To determine the number of tablets per dose, use the formula:

Tablets per dose = Dose ordered/ Dose available

Given:

  • Ordered dose = 100 mg
  • Available dose = 50 mg per tablet

Tablet per dose = 100mg/(50mg/tablet)

= 2 tablets

Thus, the nurse will administer 2 tablets per dose.

Correct Answer is B

Explanation

A. Perception. Perception occurs when the brain processes and interprets the pain signal, which happens after the stimulus has been converted and transmitted.
B. Transduction. Transduction is the process where a painful stimulus, such as touching a hot stove, causes cellular damage, leading to the release of chemical mediators that convert the stimulus into a pain impulse.
C. Modulation. Modulation involves the body's response to pain, including the release of endorphins to inhibit pain signals and reduce pain sensation.
D. Transmission. Transmission refers to the movement of the pain impulse from the site of injury to the spinal cord and brain, occurring after transduction has taken place.

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