Which of the following is NOT a contraindication in taking ORAL temperature?

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Question 1 of 5

Which of the following is NOT a contraindication in taking ORAL temperature?

Correct Answer: A

Rationale: Quadriplegia isn't an oral temp contraindication e.g., a paralyzed patient can still hold a thermometer if alert. NGT (obstruction), dyspnea (breathing interference), and nausea (gagging risk) preclude it. Nurses use alternatives (axillary) here, per safety protocols, ensuring accurate readings.

Question 2 of 5

RN assumes 24 hour responsibility for the client to maintain continuity of care across shifts, days or visits.

Correct Answer: C

Rationale: Primary nursing assigns one RN 24-hour responsibility for a client's care plan, ensuring continuity e.g., a diabetic's regimen tracked across shifts via associates. Functional nursing focuses tasks, team nursing collaborates, and total care is shift-specific. This accountability, like overseeing wound care long-term, builds trust and consistency, vital for complex cases. Its structured oversight distinguishes it, widely applied in settings needing sustained nurse-patient bonds.

Question 3 of 5

This period ended when Pastor Fliedner, build Kaiserwerth institute for the training of Deaconesses

Correct Answer: A

Rationale: The Apprentice Period (6th-19th centuries) ended in 1836 with Fliedner's Kaiserwerth, training deaconesses e.g., Nightingale's alma mater. Unlike Dark (decline), Contemporary (modern), or Educative (post-apprentice), this shift from convent care to formal education marked nursing's professional dawn, a pivotal historical transition.

Question 4 of 5

What do you call the theorist that considers environment as the major determinant in a person's ability to function independently?

Correct Answer: D

Rationale: Nightingale's theory (1850s) sees environment as key to independence e.g., clean air aids recovery. Henderson focuses on needs, Orem on self-care, Swanson on caring. Her environmental focus e.g., sanitation remains foundational, influencing modern infection control and patient autonomy in nursing.

Question 5 of 5

How long should the Rectal Thermometer be inserted to the clients anus?

Correct Answer: A

Rationale: Rectal thermometers insert 1-2 inches e.g., 1 inch adults, less kids for accurate core temp, avoiding perforation. Longer (3-5) is unsafe; 5-1.5 illogical. Nurses mark this e.g., depth per guidelines, ensuring precision and safety.

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