Fundamentals Of Nursing Practice Quiz - 1 | Attempts: 6579

2.

Which of the following sites reflects core temperature?

Skin
Oral cavity
Rectum
Axilla

Correct Answer

A. Rectum

Explanation

The rectum reflects core temperature because it is located internally and is not influenced by external factors like skin temperature. The rectal temperature is considered the most accurate reflection of core body temperature as it directly measures the temperature of the blood flowing through the body's core organs.

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3.

The rationale behind using soft plastic cover is that it will not break in patient’s mouth and prevents transmission of microorganisms between patients.

True
False
I don't know
Incomplete information

Correct Answer

A. True

Explanation

Using a soft plastic cover prevents the risk of the cover breaking in the patient's mouth, which could lead to injury. Additionally, the soft plastic cover acts as a barrier, preventing the transmission of microorganisms between patients. Therefore, it is true that the rationale behind using a soft plastic cover is to ensure patient safety and prevent the spread of infections.

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4.

Where should you slide the thermometer to measure oral temperature?

Under tongue in anterior sublingual pocket lateral to center of lower jaw.
Over tongue in superior sublingual pocket
Under tongue in posterior sublingual pocket lateral to center of lower jaw.
Under tongue in posterior sublingual pocket at the center of lower jaw.

Correct Answer

A. Under tongue in posterior sublingual pocket lateral to center of lower jaw.

Explanation

To measure oral temperature, the thermometer should be placed under the tongue in the posterior sublingual pocket, which is located on the side of the lower jaw. This placement ensures accurate measurement of body temperature as it is close to the major blood vessels and provides an accurate reflection of core body temperature. Placing the thermometer in the correct position allows for an effective and reliable measurement of oral temperature.

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5.

During measuring oral temperature, you should ask patient to hold thermometer probe with teeth closed.

True
False

Correct Answer

A. False

Explanation

The statement is false because during measuring oral temperature, the patient should not hold the thermometer probe with their teeth closed. Instead, they should be instructed to place the probe under their tongue and close their lips gently around it. Holding the probe with teeth closed may result in inaccurate readings as it can affect the contact between the probe and the oral cavity, leading to incorrect temperature measurements.

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6.

In which of the following cases would oral temperature be contraindicated?

Patient had oral surgery
Patient with history of epilepsy
Patient experiencing shaking chill
A, B, and C

Correct Answer

A. A, B, and C

Explanation

Oral temperature would be contraindicated in all of the given cases: patient had oral surgery, patient with a history of epilepsy, and patient experiencing shaking chills. In the case of oral surgery, it is important to avoid placing anything in the mouth to prevent disruption of the surgical site. Patients with a history of epilepsy may have difficulty keeping the thermometer in their mouth during a seizure, and it may pose a safety risk. Shaking chills can cause excessive movement and make it difficult to obtain an accurate oral temperature reading. Therefore, in all of these cases, alternative methods of temperature measurement should be used.

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7.

Which of the following statements is false regarding axillary temperature?

You should insert thermometer probe into center of axilla, lower arm over probe, and place arm across patient’s chest.
Skin lesions do not alter axillary temperature
Axillary temperature is usually 0.9°F higher than oral temperatures.
Axillary temperature reflects body core temperature

Correct Answer

A. Axillary temperature is usually 0.9°F higher than oral temperatures.

Explanation

Axillary temperature readings are typically lower than oral temperatures, not higher. This is because axillary measurements are taken from the armpit area, which is cooler than the mouth. Normally, axillary temperatures are about 0.5 to 1.0°F lower than oral temperatures.

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8.

You are about to measure your patient's tympanic temperature. After you explain the procedure to your patient, what is the next step?

Assess the patients ear for earwax, growth, deformities, or hearing aids.
Slide disposable speculum cover over the otoscope-like lens tip until it locks into place.
Insert speculum into ear canal following manufacturer’s instructions for tympanic probe positioning.
Pull ear pinna backward, up, and out for proper position.

Correct Answer

A. Assess the patients ear for earwax, growth, deformities, or hearing aids.

Explanation

The next step after explaining the procedure to the patient is to assess the patient's ear for earwax, growth, deformities, or hearing aids. This is important because any obstructions or abnormalities in the ear can affect the accuracy of the tympanic temperature measurement. By checking the ear beforehand, any potential issues can be addressed or noted before proceeding with the measurement.

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9.

When measuring Tympanic temperature, the ear tug straightens the external auditory canal, allowing maximum exposure of tympanic membrane. What is the best technique to ensure a proper positioning in adults?

Pull ear pinna backward, up, and out.
Pull ear pinna upward and out.
Pull ear pinna downward
Turn the patient's head toward you

Correct Answer

A. Pull ear pinna backward, up, and out.

Explanation

The best technique to ensure a proper positioning of the ear for measuring Tympanic temperature in adults is to pull the ear pinna backward, up, and out. This technique helps to straighten the external auditory canal, allowing maximum exposure of the tympanic membrane. By pulling the ear pinna in this direction, it helps to create a clear pathway for the thermometer probe to accurately measure the temperature of the tympanic membrane. This technique is important to ensure accurate and reliable temperature readings.

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10.

If holding handheld unit of Tympanic theremometer with right hand, oyou should obtain temperature from patient’s __________________ ear;

Correct Answer
right

Explanation
When holding the handheld unit of a tympanic thermometer with the right hand, it is logical to obtain the temperature from the patient's right ear. This is because the right hand is more comfortable and coordinated with the right side of the body. Additionally, the right ear is closer and easier to access when holding the thermometer with the right hand. Therefore, it is recommended to use the right ear in this scenario.

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Fundamentals Of Nursing Practice Quiz - 1

Which of the following is false statement regarding human body's temperature?

Quiz Preview

Which of the following sites reflects core temperature?

The rationale behind using soft plastic cover is that it will not break in patient’s mouth and prevents transmission of microorganisms between patients.

Where should you slide the thermometer to measure oral temperature?

During measuring oral temperature, you should ask patient to hold thermometer probe with teeth closed.

In which of the following cases would oral temperature be contraindicated?

Which of the following statements is false regarding axillary temperature?

You are about to measure your patient's tympanic temperature. After you explain the procedure to your patient, what is the next step?

When measuring Tympanic temperature, the ear tug straightens the external auditory canal, allowing maximum exposure of tympanic membrane. What is the best technique to ensure a proper positioning in adults?

If holding handheld unit of Tympanic theremometer with right hand, oyou should obtain temperature from patient’s __________________ ear;