Correct Answer: D

Rationale: The client's current level of mobility is essential to be included in the transfer report for the rehabilitation facility to develop an appropriate care plan. Understanding the client's mobility status helps in determining the level of assistance and interventions needed to prevent falls and promote safe rehabilitation.

Choices A, B, and C are not directly related to the client's immediate care needs during the transfer to the rehabilitation facility, making them less relevant for the transfer report.

Correct Answer: A

Rationale: The correct answer is A: 'Monitor INR levels and check for bleeding.' When a patient is receiving anticoagulant therapy, nurses must monitor the patient's INR levels to ensure that the anticoagulants are within the therapeutic range and also watch for signs of bleeding, which is a common side effect of anticoagulants. Option B is incorrect because while patient education is important, dietary restrictions are not a direct nursing consideration when administering anticoagulant therapy. Option C is not a specific nursing consideration related to anticoagulant therapy. Option D is incorrect as keeping the patient immobile is not a standard nursing practice for patients on anticoagulant therapy, as mobility is often encouraged to prevent complications like deep vein thrombosis.

Correct Answer: B

Rationale: The correct answer is B. The nurse should inform the client that their oncologist might prescribe a cold cap during treatment to reduce chemotherapy-induced hair loss by cooling the scalp.
Choice A is incorrect as washing the hair during treatment is generally recommended.
Choice C is incorrect as sunscreen is not typically needed for the scalp in this context.
Choice D is incorrect as regrowth of hair can vary among individuals and is not guaranteed within a specific timeframe.

Correct Answer: B

Rationale: The correct answer is B: Ensure the blood type is compatible with the client. This is the most crucial step in preparing for a blood transfusion to prevent severe transfusion reactions. Checking the client for a fever (
Choice
A) is important but not the most critical step. Administering blood via IV push (
Choice
C) is incorrect as blood transfusions are usually administered as a slow drip. Warming the blood to body temperature (
Choice
D) is not a standard practice and can lead to hemolysis, making it an incorrect choice.

Correct Answer: C

Rationale:
Choice C is correct because it demonstrates the client's understanding of the procedure, which involves discarding the first urine of the day at the specified time and then saving all subsequent urine for the next 24 hours.

Choices A, B, and D do not reflect an understanding of the correct procedure.
Choice A is incorrect because bowel movements are not part of a 24-hour urine collection.
Choice B is incorrect as it does not specify discarding the first urine.
Choice D is incorrect as it mentions filling up the bottle quickly, which is not the correct way to collect a 24-hour urine sample.