A female client is admitted with a tentative diagnosis of Guillain-Barre syndrome. Which finding is most important for the nurse to report to the healthcare provider?

Correct Answer: B

Rationale: In Guillain-Barre syndrome, decreased deep tendon reflexes are a critical finding that may indicate impending respiratory failure. This is due to the involvement of the peripheral nervous system affecting the muscles, including those involved in breathing. Reporting decreased deep tendon reflexes promptly is essential to prevent respiratory compromise. Facial weakness, difficulty speaking, and inability to move the eyes are common manifestations of Guillain-Barre syndrome but are not as immediately concerning as respiratory distress and impending respiratory failure.

Correct Answer: D

Rationale: The correct answer is 'D.' The client stating 'I may experience some neck swelling' does not indicate a need for further teaching since neck swelling is an expected side effect of radioactive iodine therapy. Choices A and B are correct statements as the client should avoid close contact with pregnant women and children for a few days due to radiation exposure, and dry mouth and taste changes are common side effects. Choice C is redundant with choice D, making D the correct answer.

Correct Answer: B

Rationale: A workshop on stress management techniques is the most engaging activity as it allows participants to actively participate, learn practical skills, and interact with others. This hands-on approach fosters engagement and provides attendees with tools they can directly apply in their lives. Choice A, a lecture, may be informative but lacks the interactive element that promotes engagement. Choice C, a panel discussion, might be informative but could be passive for attendees. Choice D, distributing brochures, is informative but lacks the interactive and engaging nature of a workshop.

Correct Answer: B

Rationale: In the context of addressing bullying among students, training for teachers on how to handle bullying incidents (Option B) is the most important component to include in the program developed by the school nurse. Teachers play a crucial role in identifying, preventing, and addressing bullying situations in schools. By providing teachers with specific training on how to recognize signs of bullying, how to intervene effectively, and how to support both the victim and the bully, the school can create a safer and more supportive environment for students. While education on the effects of bullying (Option A) is important for raising awareness among students, without teachers equipped to address incidents, the impact may be limited. A peer mentoring program (Option C) can be valuable in fostering positive relationships and support among students, but it may not directly address the immediate need for intervention and prevention of bullying. Similarly, a zero-tolerance policy for bullying (Option D) is essential but should be complemented by teacher training to ensure consistent enforcement and effective responses to incidents. In an educational context, emphasizing teacher training aligns with the idea of creating a comprehensive approach to bullying prevention and intervention that involves all stakeholders in the school community. By empowering teachers with the knowledge and skills to address bullying effectively, the school nurse's program can have a more significant and lasting impact on student well-being and school climate.

Correct Answer: B

Rationale: The correct answer is B) To protect you because you can get an infection very easily. In a community health nursing context, it is crucial to educate patients, especially children, about the rationale behind infection control measures such as reverse isolation. By wearing a gown and mask, the nurse is preventing the introduction of pathogens from the outside environment to the immunocompromised child. Emphasizing that these precautions are in place to protect the child from potentially harmful infections is essential for promoting understanding and cooperation. Option A is incorrect because the primary purpose of wearing protective gear in this scenario is not to protect the nurse, but rather to prevent the child from getting infections. Option C is incorrect as it does not directly address the child's question and may not provide a clear explanation. Option D is incorrect as it confuses the purpose of isolation by suggesting that it is to prevent others from getting the child's infection rather than the other way around. By choosing option B, the nurse provides a clear and developmentally appropriate explanation to the child, fostering understanding and cooperation in adhering to infection control measures for their safety and well-being.