Rectal temperature, wrong

Correct Answer: A

Rationale: The correct answer is A: Diarrhea. Rectal temperature should not be taken when a patient has diarrhea because it can lead to inaccurate readings due to rapid fluctuation in body temperature caused by fluid loss. Diarrhea can impair the body's ability to regulate temperature, resulting in unreliable readings. This can potentially lead to incorrect diagnosis and treatment decisions. Therefore, it is crucial to avoid taking rectal temperature in patients with diarrhea to ensure accurate assessment of their temperature status.

Correct Answer: B

Rationale: The correct answer is B because anticipatory grieving refers to the process of mourning and preparing for an expected loss, such as receiving a cancer diagnosis. Crying upon diagnosis signifies the emotional response to the impending loss, demonstrating anticipatory grief. Choice A, not crying at a burial, does not relate to anticipatory grief as it occurs after the loss. Choice C and D are incomplete, making them incorrect by default.

Correct Answer: A

Rationale: The correct answer is A: At the extremities. Core temperature refers to the internal temperature of the body, which is regulated by the hypothalamus in the brain. Temperature readings at the extremities, such as the hands and feet, are usually lower than core body temperature. This is because blood flow is more restricted in these areas compared to the core, where vital organs are located. Therefore, measuring temperature at the extremities is not an accurate reflection of core body temperature. Choices B, C, and D are incorrect because core temperature is not typically measured at the abdomen or any other body part, but rather at central locations like the mouth, ear, or rectum for accurate readings.

Correct Answer: B

Rationale: The correct answer is B, tepid sponge bath, for fever management because it helps to lower the body temperature gradually without the risk of adverse effects associated with medication like paracetamol (choice A). Tepid sponge bath promotes heat loss through evaporation and conduction, effectively reducing fever. Choices C and D are blank as they are not relevant. In summary, tepid sponge bath is the best independent action for fever as it is safe, non-invasive, and helps to regulate body temperature effectively.

Correct Answer: B

Rationale: The Shellen chart is used to measure visual acuity. The notation "20/200" means that at 20 feet, the patient can see what a normal person can see at 200 feet. Therefore, choice B is correct because 200 represents the distance at which a normal person can read the same line of letters on the chart as the patient can at 20 feet. Choices A, C, and D are incorrect as they do not accurately interpret the notation or the purpose of the Shellen chart.