Correct Answer: D

Rationale: The correct answer is D: Administer the medication. Atenolol is a beta-blocker used to reduce heart rate and blood pressure. In this scenario, the client's apical pulse of 65 beats per minute is within the normal range for a client taking atenolol after a myocardial infarction. Therefore, the nurse should proceed with administering the medication as prescribed to help maintain the client's heart rate and blood pressure within the therapeutic range. A: Measuring the blood pressure is important but not the immediate next step as the client's heart rate is within the normal range. B: Reassessing the apical pulse is unnecessary since it is already within the normal range for a client on atenolol. C: Notifying the healthcare provider is not indicated as there are no signs of concern with the client's heart rate at 65 bpm.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Family-centered care promotes involvement of family members in patient care. 2. A sleeper sofa in the patient's room allows family members to stay overnight, enhancing support for the patient. 3. Storage for personal belongings ensures families can have essentials close by, increasing comfort and convenience. 4. These design elements facilitate family presence, communication, and participation in care, aligning with family-centered care principles. Summary of Incorrect Choices: B. Having a diagnostic suite nearby is convenient but not directly related to family-centered care principles. C. A waiting room with amenities is beneficial but does not directly involve families in patient care. D. Access to a garden for meditation is helpful for relaxation but does not emphasize family involvement in care.

Correct Answer: B

Rationale: The correct answer is B: Acknowledge family emotions. This is a key component of the VALUE strategy as it emphasizes empathy and understanding towards the emotions that family members may be experiencing during a difficult time. By acknowledging their emotions, healthcare providers can build trust and establish a supportive relationship with the family. Choice A is incorrect because the VALUE strategy focuses on treating family members as integral members of the care team, not just as guests. Choice C is incorrect as learning about family structure and function is important but not specifically part of the VALUE strategy. Choice D is incorrect as using a trained interpreter is important for effective communication but is not specific to the VALUE mnemonic.

Correct Answer: D

Rationale: The correct answer is D: Administer the medication. Atenolol is a beta-blocker used to reduce heart rate and blood pressure. In this scenario, the client's apical pulse of 65 beats per minute is within the normal range for a client taking atenolol after a myocardial infarction. Therefore, the nurse should proceed with administering the medication as prescribed to help maintain the client's heart rate and blood pressure within the therapeutic range. A: Measuring the blood pressure is important but not the immediate next step as the client's heart rate is within the normal range. B: Reassessing the apical pulse is unnecessary since it is already within the normal range for a client on atenolol. C: Notifying the healthcare provider is not indicated as there are no signs of concern with the client's heart rate at 65 bpm.

Correct Answer: A

Rationale: The correct answer is A: Basilar skull fracture. Endotracheal intubation is recommended over nasotracheal intubation to avoid the risk of further damaging a basilar skull fracture. Nasotracheal intubation can potentially cause further injury due to the passage of the tube through the nasal cavity, which could exacerbate a basilar skull fracture. Summary of other choices: B: Cervical hyperextension - Not directly related to the choice between endotracheal and nasotracheal intubation. C: Impaired ability to "mouth" words - Not a significant factor in determining the choice of intubation method. D: Sinusitis and infection - While nasotracheal intubation can potentially lead to sinusitis and infection, the primary concern in this scenario is the risk of aggravating a basilar skull fracture.