A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client's body temperature?

Correct Answer: D

Rationale: Selecting the best method to measure body temperature depends on the client's condition and clinical context. This client recently underwent oral surgery, which likely involved trauma, incisions, or packing in the mouth, making the oral route (A) inappropriate due to potential discomfort, inaccuracy from inflammation, or risk of injury to surgical sites. The client's flushed and warm skin suggests a possible fever, requiring a reliable method. Axillary measurement (B) is non-invasive but less accurate (typically 0.5°C lower than core temperature) and may not reflect true systemic temperature in critical situations. An arterial line (C) is invasive, used for continuous monitoring in critical care, and not practical for routine temperature assessment. The rectal route (D) provides a core temperature reading (about 0.5°C higher than oral), is unaffected by oral surgery, and is reliable for detecting fever in this scenario. Despite being slightly more invasive, it ensures accuracy when oral access is compromised, making D the best choice for this post-surgical client with signs of fever.

Correct Answer: B

Rationale: Home care includes family (A), is less expensive than hospitals (C), and is individualized (D), per home care norms. Equipments needed are expensive (B) isn't universally true basic needs (e.g., bed, oxygen) aren't always costly. B's assumption fails context, making it the untrue statement.

Correct Answer: D

Rationale: A signed donor card is a legal document honored after death (D), per donation laws Mr. Gary's wish guides. Wife can't revoke (A) isn't absolute family may influence. Harvesting despite objections (B) or post-signing (C) misstates process. D reflects legal intent, making it true.

Correct Answer: C

Rationale: Veracity is truth-telling (A), respect (B), and may be adjusted (D) for protection (e.g., beneficence) 'at all times' (C) isn't true, per ethics. Context may limit truth (e.g., hope). C's absoluteness fails, making it untrue.

Correct Answer: A

Rationale: False imprisonment is locking a client against will (A), per law restraint without cause. No harm (B) needed, it's intentional (C), not all (D). A truly defines confinement, making it correct.