What is the preferred method for taking a patient's temperature when shortness of breath prevents them from using a conventional thermometer?

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Using a temporal or tympanic thermometer is the preferred method for taking a patient's temperature when shortness of breath prevents them from using a conventional thermometer. Temporal thermometers measure temperature by scanning the forehead, providing a quick and non-invasive means of obtaining a reading. Tympanic thermometers, which measure the temperature in the ear, are also quick and generally well-accepted by patients.

In situations where a patient has difficulty breathing, such as during an acute episode of shortness of breath, using these methods minimizes discomfort and does not require the patient to hold their breath or remain still for an extended period, which may be necessary for oral or axillary temperature measurements.

Oral thermometers require the patient to breathe in a way that can be challenging for someone with respiratory distress. Manual temperature taking is not a standard practice and would not provide an accurate measurement compared to digital methods. Taking an axillary temperature, while feasible, is generally less accurate and can take longer, making it less suitable for a quick assessment when a patient is experiencing distress. Thus, the use of temporal or tympanic thermometers is both practical and effective in these situations.

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