A female client arrives at the emergency department with chest and stomach pain and a report of black tarry stool for several months. Which of the following order should the nurse Oliver anticipate?

Correct Answer: C

Rationale: The correct order to anticipate for the female client with chest and stomach pain and black tarry stool is option C. Firstly, an electrocardiogram is necessary to assess for any cardiac issues related to the chest pain. Next, a complete blood count is essential to evaluate for any potential blood disorders causing the black tarry stool. Testing for occult blood helps identify any gastrointestinal bleeding. Lastly, a comprehensive serum metabolic panel provides a broad assessment of the client's overall health status. Option A is incorrect as creatine kinase and lactate dehydrogenase levels are not typically indicated for the presenting symptoms. Option B focuses on coagulation parameters, which are not the primary concern in this case. Option D includes tests unrelated to the client's symptoms, making it an inappropriate choice.

Correct Answer: C

Rationale: The correct answer is C. Regular insulin typically has an onset of action around 30 minutes after administration, with its peak action occurring around 2-4 hours later. In this case, the insulin was administered at 2 p.m., so the onset would be around 2:30 p.m. and the peak around 4 p.m. Option A is incorrect because the onset of action is not immediate at 2 p.m. and peak action happens later. Option B is incorrect as the onset would be closer to 2:30 p.m. Option D is incorrect as the peak action would not occur 2 hours after onset. Therefore, option C is the most appropriate based on the pharmacokinetics of regular insulin.

Correct Answer: D

Rationale: The correct answer is D: Spontaneous pneumothorax. In this scenario, the decreased to absent breath sounds on the right side indicate a possible lung collapse, which is characteristic of a spontaneous pneumothorax. This condition occurs when air enters the pleural space, causing the lung to collapse. The absence of breath sounds is due to the lack of air movement in the affected lung. Acute asthma (choice A) typically presents with wheezing and prolonged expiration. Chronic bronchitis (choice B) is characterized by productive cough and wheezing. Pneumonia (choice C) would present with crackles and increased breath sounds in the affected area.

Correct Answer: C

Rationale: The correct answer is C: Essential thrombocytopenia. Clients with SLE are at risk for developing various blood dyscrasias, including thrombocytopenia (low platelet count). Thrombocytopenia can lead to an increased risk of bleeding, which is important for the client to be aware of. Dressler's syndrome (A) is a post-myocardial infarction syndrome and not directly related to SLE. Polycythemia (B) is an increase in red blood cells, not typically associated with SLE. Von Willebrand's disease (D) is a bleeding disorder due to a deficiency in von Willebrand factor, but it is not commonly seen in SLE.

Correct Answer: D

Rationale: Rationale: - Option D is correct because it acknowledges the mother's concern, provides reassurance, and educates about the temporary nature of the hair loss due to the treatment. - It shows empathy, offers hope, and addresses the mother's emotional distress in a supportive and informative manner. Summary: - Option A ignores the mother's feelings and does not address the underlying concern. - Option B is dismissive and invalidates the mother's emotions, lacking empathy. - Option C suggests suppressing emotions, which can be harmful and does not address the mother's concern.