The nurse is preparing to assess vital signs for clients currently assigned.For which client would measuring temperature via the rectal route be contraindicated?

Question

Quizplus · Accepted Answer

The rectal route for measuring temperature is contraindicated in clients who have had recent surgery in the area of the rectum or in cases involving the lower spinal cord, and also in clients with certain conditions affecting the rectal area. In this scenario, choice B (An adolescent client who has had recent maxillofacial surgery) is not directly contraindicated for rectal temperature measurement based on the surgery type mentioned, but it's the closest to being inappropriate among the given options. However, it's important to note that the primary reason for avoiding rectal temperature in specific patients would be due to rectal or lower gastrointestinal tract surgeries, severe diarrhea, neutropenia, or if the patient is immunocompromised, none of which are explicitly mentioned in the options. The question seems to be aiming at identifying the least appropriate option for rectal temperature measurement, but none of the options directly fit the typical contraindications. Therefore, the explanation provided is based on standard nursing practices and the understanding that rectal temperatures are generally avoided in patients with certain conditions or surgical histories, but the given options do not clearly match these contraindications.

The Nurse Is Preparing to Assess Vital Signs for Clients