Correct Answer: C

Rationale: The correct answer is C. Contact with the grandson's new dog could have introduced new allergens or irritants, exacerbating the eczema symptoms.
Choice A is unrelated to the exacerbation of symptoms.
Choice B, receiving an influenza immunization, is unlikely to directly cause an exacerbation of eczema symptoms.
Choice D, applying corticosteroid cream, is a common treatment for eczema and would not likely be the cause of the exacerbation.

Correct Answer: C

Rationale: Palpating the bladder above the symphysis pubis is the most appropriate intervention in this scenario. It helps assess for urinary retention, which is a common issue in older males presenting with symptoms like difficulty starting urinary stream and feeling of incomplete bladder emptying. Collecting a urine specimen for culture analysis (
Choice
A) may be necessary in other situations like suspected urinary tract infection. Reviewing the client's fluid intake (
Choice
B) is important but does not directly address the current issue of urinary retention. Obtaining a fingerstick glucose level (
Choice
D) is not relevant to the client's urinary symptoms.

Correct Answer: B

Rationale: The correct answer is B because nursing interventions for cognitively impaired children prioritize promoting loving interactions with family. This support helps in creating a nurturing environment that contributes to the child's well-being and development.
Choice A is not the priority as good nutrition, though important, may not address the immediate emotional and social needs of the child.
Choice C is vague and does not specify how stimulation will be provided.
Choice D, contact with peers, is also valuable but not as crucial as the primary relationships and interactions within the family unit for a cognitively impaired child.

Correct Answer: B

Rationale: The most important intervention for the nurse in caring for a child with ADHD is to allay any feelings of guilt the parents may have. Parents of children with ADHD often experience guilt or self-blame, thinking they are responsible for their child's condition. By addressing and alleviating these feelings, the nurse can support the parents in a crucial way.
Choice A is not the most important intervention because enrolling the child in a special education class might be a consideration but does not address the emotional needs of the parents.
Choice C is incorrect because stating that medications are lifelong may cause unnecessary distress to the parents.
Choice D is also not the most important intervention as setting limits is important but not as critical as addressing parental guilt and emotions.

Correct Answer: A

Rationale: The correct answer is A: Irregular apical pulse. In a client recovering from a laparoscopic procedure with Cushing's Syndrome, an irregular apical pulse can be indicative of a life-threatening arrhythmia and requires immediate intervention.

Choices B, C, and D are not as urgent as an irregular apical pulse. Purple marks on the skin of the abdomen may be related to Cushing's Syndrome, a quarter-sized blood spot on the dressing can be managed with appropriate wound care, and pitting ankle edema may be expected postoperatively but does not require immediate intervention.