Nokea
The healthcare professional is preparing to take vital signs in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client's temperature?
- A. Oral
- B. Axillary
- C. Radial
- D. Heat-sensitive tape
Correct Answer: A
Rationale: The most accurate method for assessing temperature in an alert client is the oral method. It provides a more reliable reflection of the body's core temperature compared to axillary or radial methods. In cases of dehydration, it is important to get an accurate temperature reading to monitor the client's condition closely.
You may also like to solve these questions
What is the best position for examining the rectum?
- A. Prone
- B. Sim's
- C. Knee-chest
- D. Lithotomy
Correct Answer: C
Rationale: The knee-chest position is the most optimal position for examining the rectum. In this position, the patient kneels on the examination table with their chest resting on it, creating a straight line from the head to the lower back. This position allows for easier access and visualization of the rectal area, making it the preferred choice for rectal examinations.
A client complains of difficulty swallowing when the nurse tries to administer capsule medication. Which of the following measures should the nurse take?
- A. Dissolve the capsule in a glass of water
- B. Break the capsule and give the contents with applesauce
- C. Check the availability of a liquid preparation
- D. Crush the capsule and place it under the tongue
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
How many drops are equivalent to 1 tsp?
- A. 15
- B. 60
- C. 10
- D. 30
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a client's first hospitalization, which of the following actions ensures the safety of the client?
- A. Keep unnecessary furniture out of the way
- B. Keep the lights on at all times
- C. Keep side rails up at all times
- D. Keep all equipment out of view
Correct Answer: A
Rationale: During a client's first hospitalization, it is essential to keep unnecessary furniture out of the way to prevent obstacles and ensure a safe environment. This action helps reduce the risk of accidents or falls, promoting the client's safety and well-being. Keeping the lights on at all times may not be necessary and can disrupt the client's rest. Keeping side rails up at all times can restrict the client's movement and independence unnecessarily. Keeping all equipment out of view may hinder the healthcare team's ability to monitor and access necessary tools for providing care.
The client was asked to read the Snellen chart. Which of the following is being tested?
- A. Optic
- B. Olfactory
- C. Oculomotor
- D. Trochlear
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.