Diplôme D'État D'Infirmier Practice Questions - Diplôme D'État D'Infirmier - Jury National DESS (DR Congo) Exam

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A nurse at a Centre de Santé has no oral or rectal thermometer available and records an adult patient's temperature in the axilla. How should that reading be interpreted relative to the patient's core temperature?

The axillary reading matches core temperature, so no adjustment or interpretation is needed The axillary reading is lower than core temperature — roughly 0.3 to 0.6°C below an oral reading and lower still than a rectal reading — so a borderline value may hide a fever The axillary reading is higher than a rectal reading, so a normal axillary value rules out fever The axillary reading is higher than an oral reading, so an apparently normal value should be treated as a fever

Correct Answer:

The axillary reading is lower than core temperature — roughly 0.3 to 0.6°C below an oral reading and lower still than a rectal reading — so a borderline value may hide a fever

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