Question

Which of the following sites is the most accurate for an EKG technician to use when measuring the body temperature of a young child? 1) Oral 2) Axillary 3) Temporal 4) Tympanic

Answer 1

The tympanic method of measuring body temperature with a tympanic thermometer is the most accurate for young children due to its quick and safe infrared technology.

Step-by-step explanation:

When measuring the body temperature of a young child, the most accurate method from the options provided would be using a tympanic thermometer. This device utilizes infrared radiation technology to measure the temperature from the ear canal, providing a quick and accurate reading. The tympanic method, as developed in conjunction with Diatek Corporation and NASA, is superior because it limits the risk of cross infection by avoiding contact with mucous membranes and enables rapid temperature measurement, which is especially beneficial for newborns, the critically-ill, or incapacitated patients.

The radial artery pulse measurement mentioned in the provided information doesn't pertain to the methodology of temperature measurement but rather to the location of checking a pulse, which is part of vital signs assessment but not related to the query about body temperature.

Answer 2

For a young child, the "temporal (forehead) method" is often considered the best balance of accuracy, safety, and comfort.

Correct answer 3.

When measuring the body temperature of a young child, an EKG technician should consider the following factors for each site:

1. Oral:

- Accuracy: Generally accurate for older children and adults, but not recommended for young children who cannot hold the thermometer in place.

- Procedure: Place the thermometer under the tongue and instruct the child to close their mouth around it.

- Considerations: Can be affected by recent eating or drinking.

2. Axillary (Underarm):

- Accuracy: Less accurate than oral or rectal temperatures but safer and more comfortable for young children.

- Procedure: Place the thermometer in the underarm area, ensuring contact with skin, and hold the child's arm against their body.

- Considerations: Room temperature can affect the reading; underarm must be dry.

3. Temporal (Forehead):

- Accuracy: Reasonably accurate and very quick; suitable for children of all ages.

- Procedure: Gently sweep a forehead thermometer across the child's forehead.

- Considerations: Can be affected by sweating or if the child is lying on a pillow.

4. Tympanic (Ear):

- Accuracy: Quite accurate for children over 6 months old.

- Procedure: Gently insert the thermometer in the ear canal, aiming towards the child's opposite eye.

- Considerations: Earwax, ear infections, or a small, curved ear canal can affect accuracy.

For a young child, the temporal (forehead) method is often considered the best balance of accuracy, safety, and comfort. It is non-invasive, quick, and can be used even while a child is asleep. However, it's important to follow the specific thermometer instructions for the most accurate reading. The tympanic method is also a good option for children over 6 months. Axillary is safer but less accurate, and oral is not typically recommended for very young children due to the difficulty in getting a reliable reading.