Fundamentals Of Nursing Practice Quiz - 1

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.

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.

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.

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.

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.

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.

The given statement that "Patient's temperature does not depend on age, gender, physical activity, and state of health" is false. The body temperature of an individual can be influenced by various factors such as age, gender, physical activity, and state of health. For example, it is known that children tend to have slightly higher body temperatures than adults, and women may experience fluctuations in body temperature due to hormonal changes. Additionally, physical activity and certain medical conditions can also affect body temperature. Therefore, it is incorrect to claim that these factors do not impact a patient's temperature.

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.

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.

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.