Correct Answer: B

Rationale: The correct term the healthcare provider will use when reporting the extremely bad breath of the unconscious patient to the oncoming shift is 'Halitosis' (
Choice
B). Halitosis specifically refers to bad breath. Cheilitis (
Choice
A) is inflammation of the lips, not related to bad breath. Glossitis (
Choice
C) is inflammation of the tongue, not directly associated with bad breath. Dental caries (
Choice
D) are cavities in the teeth, which can contribute to bad breath but are not the term used to describe bad breath itself.

Correct Answer: C

Rationale: Encouraging bed rest and quiet activities is crucial for a child recovering from a splenectomy with low hemoglobin and hematocrit levels. This approach helps conserve energy, promotes healing, and allows the body to focus on rebuilding red blood cells. Limiting milk and milk products (
Choice
A) is not directly related to improving the child's condition. Encouraging bed rest and quiet activities (
Choice
B) is appropriate as it helps in conserving energy and preventing physical exertion. Promoting a diet rich in iron (
Choice
D) is beneficial for improving hemoglobin levels in the long term, but immediate rest and recovery take precedence in this scenario.

Correct Answer: A

Rationale: The best action for the nurse is to respect the patient's preference and autonomy. By deferring the bath until evening, the nurse acknowledges and accommodates the patient's routine, promoting patient-centered care.
Choice B could be seen as dismissive of the patient's preference and may not foster a therapeutic relationship.
Choice C, while important, doesn't address the patient's current refusal.
Choice D is not respectful of the patient's autonomy and could lead to increased resistance.
Therefore, option A is the most appropriate and patient-centered approach.

Correct Answer: A

Rationale: The ventrogluteal site is considered the safest for intramuscular injections in young adult clients due to its location away from major nerves and blood vessels. The ventrogluteal site is preferred over the dorsogluteal site, as the latter is associated with a higher risk of injury to the sciatic nerve. The deltoid site is commonly used for vaccines but may not be suitable for all intramuscular injections due to smaller muscle mass. The vastus lateralis site is often used in infants and young children, but in young adults, the ventrogluteal site is preferred for safety and efficacy.

Correct Answer: A

Rationale: Performing a physical assessment is the most appropriate initial nursing action in this scenario. A thorough physical assessment helps evaluate the client's current condition, severity of symptoms, and identify any immediate concerns. This assessment can provide crucial information to guide further interventions and treatment. Reviewing the client's medication list (choice
B) is important but may not address the immediate need for assessing the client's current status. Instructing the client to elevate the legs (choice
C) may be beneficial but should come after a thorough assessment. Obtaining a detailed dietary history (choice
D) is relevant for heart failure management but is not the most urgent initial action when the client presents with acute symptoms like weight gain, leg swelling, and shortness of breath.