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Measuring Temperature

A confused resident clenches his teeth, turns away, and tries to bite when an oral thermometer is offered. What should the nursing assistant do?

  • A.Stop, keep him safe, and tell the nurse for another site
  • B.Hold his jaw open and insert the probe quickly
  • C.Restrain his hands and retry the oral method
  • D.Leave and chart that he refused all care today
Correct answer

A. Stop, keep him safe, and tell the nurse for another site

Why

Forcing an oral temperature on a resident who bites is unsafe for both the resident and the assistant. Stopping and reporting to the nurse allows a safer site, such as axillary, to be chosen.

Content outline: Basic Nursing Skills - Vital Signs: Temperature · From the Basic Nursing Skills practice bank (BN-013).

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