Practical nursing : a text-book for nurses . hich is usually higher than the body tem-perature. When taken by rectum, the temperaturewill be about one degree higher than it would be iftaken by mouth. Never take the temperature byrectum when the rectum is diseased, and never allowa sick patient to insert the thermometer herself. Ifan infant struggles while you are taking its temper-ature, turn it on its face, or hold it face downward onyour knee. When inserting the thermometer withthe child so placed, point it downward, toward theumbilicus, for the axis of the rectum is changed bythis position.
Practical nursing : a text-book for nurses . hich is usually higher than the body tem-perature. When taken by rectum, the temperaturewill be about one degree higher than it would be iftaken by mouth. Never take the temperature byrectum when the rectum is diseased, and never allowa sick patient to insert the thermometer herself. Ifan infant struggles while you are taking its temper-ature, turn it on its face, or hold it face downward onyour knee. When inserting the thermometer withthe child so placed, point it downward, toward theumbilicus, for the axis of the rectum is changed bythis position. The Axillary Temperature.—Before insertingthe thermometer in the axilla, wipe the latter thor-oughly, place the bulb in the hollow of the armpit,with the stem of the thermometer pointing towardthe chest, and see that the patient holds her armpressed closely to her side. Allow ten minutes forregistration. The axillary temperature is apt to beslightly lower than the mouth temperature. Children, hysterical, delirious, or fractious patients,. FIG. 17.—DIAGRAM SHOWING PLAN OF DISTRIBUTION OF ARTERIES AND VEINS Temperature, Pulse, and Respiration 261 should never be left while their temperature is beingtaken. Hysterical patients often resort to manymechanical devices, such as moving the thermometerin the mouth, holding it on a hot-water bag, etc., toobtain high registration. The temperature must be not only accurately taken,but accurately recorded. The giving of drugs andtreatments likely to affect the temperature is usuallyrecorded on the temperature chart. A patient should never have access to her chart,and all questions regarding her temperature andcondition should be evaded as far as possible. The Pulse What It Is.—The pulse is the distention of thearteries by a wave of blood forced through them bythe contractive or systolic action of the heart. Theinterval between the pulse-beats is the period occupiedby the diastole or relaxation of the ventricles of theheart as they fil
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