Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Nursing Foundation
Medium
In the following, all are the contraindications for measurement of rectal temperature; EXCEPT:
Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Explanation
- Constipation is not considered an absolute contraindication for taking a rectal temperature.
- Unlike conditions that pose a risk of injury or bleeding, constipation's main issue is the potential for an inaccurate reading.
- The presence of hard, impacted stool can prevent the thermometer probe from making proper contact with the rectal mucosa, which is necessary for an accurate core temperature measurement.
Why Other Options Were Wrong
- Option A: Recent colon or rectal surgery is a major contraindication. Inserting a thermometer risks disrupting the surgical anastomosis, causing a perforation, or introducing infection.
- Option B: Hemorrhoids (piles) are swollen and inflamed veins in the rectum and anus. Inserting a thermometer can be very painful and can cause them to bleed.
- Option C: Diarrhea is a contraindication for two main reasons: the rectal mucosa is often irritated and sensitive, and the presence of liquid stool can lead to a falsely low and inaccurate temperature reading.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Contraindications for Rectal Temperature Measurement as background academic context rather than a clinical decision trigger.
- Choosing the appropriate site for temperature measurement is a critical nursing skill that directly impacts patient safety and the accuracy of clinical data.
- Always assess the patient for contraindications before performing any procedure. An incorrect site choice can lead to patient injury, such as rectal perforation, or inaccurate data, leading to poor clinical decisions.
- What if? If a patient is unconscious (contraindicating oral temp) and has diarrhea (contraindicating rectal temp), the nurse should opt for a non-invasive alternative like a temporal artery or tympanic measurement to ensure both safety and a reliable reading.
How to Approach the Question
- First, identify that the question uses the keyword 'EXCEPT'. This means you are looking for the option that does not belong with the others.
- The core concept is 'contraindications for rectal temperature'. This means three of the options are reasons NOT to take a rectal temperature.
- Evaluate each option based on risk. Does it pose a risk of injury, significant pain, bleeding, or major inaccuracy?
- Colon surgery, hemorrhoids, and diarrhea all present clear risks of harm or inaccuracy.
- Constipation, while potentially affecting accuracy, does not carry the same level of risk as the other three options, making it the correct exception.
Concept Tested & Keywords
- Concept Tested: Contraindications for Rectal Temperature Measurement
- Stem keywords: contraindications, rectal temperature, measurement
- Lead-in keywords: EXCEPT
- Negative lead-in flag: The question asks for the EXCEPTION among the contraindications.
Question ID
QBuQPk8rD0OO-7HxBFTKAH
Reference Book
E6 Nursing Fundamentals Potter Perry 12e Part 3 p. 13-15
Practise the full Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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