Correct Answer: A

Rationale: The correct answer is A: Liver. The liver is responsible for the extensive metabolism of acetaminophen through various pathways, including glucuronidation, sulfation, and oxidation. It converts acetaminophen into less toxic metabolites for elimination. The kidneys (
B) primarily filter blood and regulate fluid balance; the lungs (
C) are involved in gas exchange; and the pancreas (
D) produces digestive enzymes and insulin, not involved in acetaminophen metabolism.
Therefore, the liver is the correct choice for this question.

Correct Answer: B

Rationale: The correct answer is B: Monitor for arrhythmias. This is because in a client showing signs of shock after surgery, the priority is to assess for any cardiac complications such as arrhythmias, which can be life-threatening. Monitoring for arrhythmias allows prompt identification and intervention. Administering a blood transfusion (
A) may be necessary in some cases of shock but is not the first intervention. Administering oxygen (
C) may also be necessary, but addressing cardiac complications takes precedence. Encouraging deep breathing (
D) is not a priority in managing shock-related complications.

Correct Answer: A

Rationale: The correct answer is A: Elevate the affected leg. This is the first action because elevating the leg helps reduce swelling and improve blood flow, reducing the risk of complications from the DVT. It also helps alleviate pain.


Choice B: Applying compression stockings can be helpful in preventing DVT, but it is not the first action to take once it has developed.


Choice C: Providing leg elevation is similar to choice A, but it lacks the specificity of elevating the affected leg to address the DVT directly.


Choice D: Administering compression therapy may be necessary, but it is not the initial action to take when a client develops a DVT.

Correct Answer: B

Rationale: The correct answer is B because HIPAA regulates the privacy and security of protected health information. This includes how healthcare providers, insurers, and other entities handle and safeguard patient information to ensure confidentiality.
Choice A is incorrect as HIPAA does not dictate who provides client care.
Choice C is incorrect as HIPAA focuses on the protection of health information, not how insurance information is obtained.
Choice D is incorrect as HIPAA does not specify where a chart can be stored, but rather how the information within it is protected.

Correct Answer: A

Rationale: The correct answer is A: Administer pain relief. The nurse should address the client's immediate symptom of severe headache to provide comfort and assess the severity of the condition. Pain relief can help decrease anxiety and prevent complications. Monitoring vital signs (
B) is important but treating the symptom should take priority. Monitoring ECG (
C) is not necessary for a headache presentation. Administering insulin (
D) is not indicated for a client presenting with a severe headache.