Which temperature measurement site should the nurse avoid in a patient with severe neutropenia?
Correct answer: D. Rectal site
- A. Oral site
- B. Axillary site
- C. Tympanic site
- D. Rectal site
Explanation
The rectal route can injure the rectal mucosa and introduce microorganisms, increasing infection risk in severe neutropenia. Oral, axillary and tympanic methods may be used according to the patient’s condition and facility policy.
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About Vital Signs and Monitoring
Vital signs include temperature, pulse, respiration, blood pressure, oxygen saturation and pain assessment. Coverage includes correct measurement sites and techniques, normal adult ranges, factors that alter readings, trends in patient observations, and the difference between an abnormal finding that needs reassessment and one requiring immediate reporting.
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