State five situations in which a rectal temperature is contraindicated for a resident.
What will be an ideal response?
A rectal temperature is contraindicated when a resident has diarrhea, rectal bleeding, hemorrhoids, colostomy, or combative behavior.
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Indicate whether the statement is true or false
Your patient is a 45-year-old male with a history of bipolar disorder. He is sitting at the kitchen table, conscious, alert, and oriented. He is pleasant and greets you as you walk in. The patient's wife called EMS because he has refused to take his lithium and is "driving her crazy with his hyperactive attitude." She insists that you transport him to the hospital. The patient admits to voluntary
noncompliance with his lithium, stating, "I didn't like the way it made me feel." He denies any suicidal thoughts and states that he has not felt "this good for a long time." He is curious about your job and wants to know how he could get into a paramedic class. He states that he's also thinking about going to law school but wants to finish his Ph.D. first. The physical examination is unremarkable. HR = 82, BP = 122/80, RR = 10, SaO2 = 99%. He says, "See, I told you I'm fine. I don't need to go to the hospital." Which of the following is the best course of action? A) Contact medical direction. B) Explain to the patient that he has no choice; if he is unwilling to take his medication, you must take him to the hospital for evaluation. C) Restrain the patient if necessary and transport. D) Request law enforcement assistance for legal detention of the patient for transport to the ED.