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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.
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A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client's body temperature?
- A. Oral
- B. Axillary
- C. Arterial line
- D. Rectal
Correct Answer: D
Rationale: In cases where the oral route is not recommended due to oral surgery or altered consciousness, the rectal method is preferred for the most accurate body temperature reading. This method is particularly useful when the skin is flushed and warm, as it provides a reliable reflection of core body temperature despite external factors affecting the skin temperature. Axillary temperature may not be as accurate, and arterial line temperature monitoring is invasive and not typically used for routine temperature assessment.
What is the primary purpose of handwashing?
- A. To promote hand circulation
- B. To prevent the transfer of microorganisms
- C. To avoid touching the client with a dirty hand
- D. To provide comfort
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What should be done in order to prevent contamination of the environment when making a bed?
- A. Avoid flinging soiled linens
- B. Strip all linens at the same time
- C. Finish both sides at the same time
- D. Embrace soiled linen
Correct Answer: A
Rationale: The correct practice to prevent contamination of the environment when making a bed is to avoid flinging soiled linens. Flinging soiled linens can spread contaminants in the environment, leading to potential health risks. By handling soiled linens properly and avoiding flinging them, the risk of contamination is minimized, ensuring a safer and cleaner environment.
Which type of illness is characterized by severe symptoms of relatively short duration?
- A. Chronic Illness
- B. Acute Illness
- C. Pain
- D. Syndrome
Correct Answer: B
Rationale: Acute illnesses are characterized by the sudden onset of severe symptoms that typically last for a short duration. These conditions usually resolve within a defined period, unlike chronic illnesses that persist over a longer time frame. Pain and syndrome are not specific types of illnesses but rather symptoms or clinical manifestations that can occur in various health conditions.
In which of the following organs does the exchange of gases take place?
- A. Kidneys
- B. Lungs
- C. Liver
- D. Heart
Correct Answer: B
Rationale: The exchange of gases, specifically oxygen and carbon dioxide, occurs in the lungs. In the lungs, oxygen from the air we breathe enters the bloodstream, while carbon dioxide is removed from the bloodstream and exhaled. This process is essential for respiration and supplying the body with oxygen for energy production.