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Gastrointestinal Disorders

The nurse observes the UAP taking an oral temperature on a 1-year-old child who is 1 day postoperative cleft palate repair. Which action should the nurse implement first?

Ensure the UAP documents the child's temperature in the chartInstruct the UAP to take the child's temperature by the axillary methodTell the UAP to remove the thermometer from the child's mouth immediatelyExplain the correct way to take the temperature for a client with a cleft palate repair

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ExplanationCorrect answer C The nurse should avoid the use of suction or other objects in the mouth, such as a tongue depressor, thermometer, spoons, or straws, of a child who is 1 day postoperative cleft palate repair because the object or suction may irritate or destroy the incision line.

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