Difficulty: Medium
Average Score: 91%
Simulated
A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?
Correct answer
B
Rationale
The correct answer is B: Wait 30 min and return to measure the oral temperature. After consuming ice chips, the client's oral temperature may be temporarily affected, leading to inaccurate readings. Waiting for 30 minutes allows the oral cavity to return to a more stable temperature, providing a more accurate measurement.
A: Documenting inability to measure the temperature is premature as waiting is a better option.
C: Proceeding to measure the temperature immediately may result in inaccurate readings.
D: Providing warm water may help normalize the oral cavity temperature, but waiting is still necessary for accurate results.
A: Documenting inability to measure the temperature is premature as waiting is a better option.
C: Proceeding to measure the temperature immediately may result in inaccurate readings.
D: Providing warm water may help normalize the oral cavity temperature, but waiting is still necessary for accurate results.