A nurse is observing an AP take a client's tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure?

A. The AP points the probe posteriorly.
B. The AP positions the client facing her.
C. The AP pulls the pinna up and back.
D. The AP inserts the probe with a straight forward motion.

The nurse should identify that the AP understands how to take a tympanic temperature if the AP points the probe posteriorly in the ear canal, and may pull the pinna up and back. The straight forward probe insertion is included for safety.

Explanation:

In order to determine if an Assistant Personnel (AP) operating a tympanic thermometer correctly, the supervising nurse would look for specific actions. A key aspect of this procedure is to correctly position the probe. The AP should point the probe in a posterior direction within the ear canal, which ensures an accurate temperature reading. The way the client is positioned does not notably affect the measurement. Pulling the pinna up and back might be necessary with adults in order to straighten the ear canal and increase the accuracy of thermometry, while for children, it is recommended to pull the pinna straight back. Inserting the probe in a straight-forward motion safeguards against accidental injury to the sensitive tissues in the ear.

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