Correct Answer: D

Rationale: Focus charting prioritizes client concerns and strengths, like anxiety or resilience, guiding care around current issues and assets. Initial problems or functioning levels are static, and goals are outcomes, not foci. This method keeps nursing care dynamic and client-centered, enhancing relevance in daily practice.

Correct Answer: B

Rationale: Buttered popcorn is suitable for gluten-induced enteropathy (celiac disease), as corn is naturally gluten-free, unlike oatmeal, wheat bread, or pizza crust, which contain gluten and damage the intestine. Nurses guide dietary choices to avoid gluten, preventing malabsorption and symptoms like diarrhea, ensuring nutritional health for affected children.

Correct Answer: C

Rationale: Delegation assigns tasks (
A), improves efficiency (
B), requires supervision (
D) 'nurse loses accountability' (
C) isn't true, retains it, per standards. C's loss fails, making it untrue.

Correct Answer: B

Rationale: Fluid status in burn patients is critical due to massive losses from damaged skin. Electrolyte levels (choice
A) indicate imbalances but not volume status directly. Hematocrit (choice
B) measures blood concentration; in burns, it rises with hemoconcentration from plasma loss, making it a practical indicator of fluid shifts. Creatinine level (choice
C) assesses kidney function, indirectly reflecting hydration over time, not acutely. Hemoglobin level (choice
D) tracks oxygen-carrying capacity but is less sensitive to immediate fluid changes. B is correct, as hematocrit provides a rapid, reliable gauge of fluid resuscitation needs. Nurses use this, alongside urine output, to titrate IV fluids, preventing shock or overload in burn management.

Correct Answer: C

Rationale: The right arm is preferred e.g., standard unless contraindicated (e.g., IVs). Contraptions (interference), left arm post-CVA (weakness), or left default don't apply. Nurses choose this e.g., routine for consistency, per guidelines.