A male client is admitted to the emergency department following an accident. What are the first nursing actions of the nurse?

Correct Answer: C

Rationale: The correct answer is C because checking respirations first ensures airway patency and oxygenation. Stabilizing the spine prevents further injury, and checking circulation assesses perfusion. Option A misses spine stabilization, B focuses on spine alignment before airway, and D does not address spine stability promptly. Prioritizing airway, breathing, and circulation is crucial in emergency care to ensure client safety and prevent complications.

Correct Answer: B

Rationale: The correct answer is B because monitoring for signs of restlessness, sweating, and excessive weight loss is crucial during thyroid replacement therapy for a female client with hyperthyroidism. Restlessness and sweating can indicate hyperthyroidism symptoms worsening, while excessive weight loss may suggest overmedication. Providing extra blankets (A) is unnecessary as hyperthyroidism typically causes heat intolerance. Balancing activity and rest (C) is important but not as critical as monitoring for specific symptoms. Encouraging activity (D) may exacerbate symptoms like fatigue and muscle weakness in hyperthyroidism.

Correct Answer: D

Rationale: The correct answer is D because placing the client on his side helps prevent aspiration and ensures an open airway. Removing dangerous objects prevents injury, and protecting the head prevents head injury. Placing the client on his back (A, C) can lead to aspiration, and holding down his arms (C) can cause injury.

Correct Answer: C

Rationale: Step 1: Mr. Vasquez has a chronic cough producing thick sputum, which is a common symptom of chronic bronchitis. Step 2: Peripheral edema and cyanotic nail beds indicate poor oxygenation, a characteristic of chronic bronchitis. Step 3: Chronic bronchitis is characterized by inflammation of the bronchial tubes, leading to excessive mucus production. Step 4: Chronic bronchitis is often caused by long-term smoking, which Mr. Vasquez has a 40-year history of. Step 5: Therefore, the most likely condition Mr. Vasquez has is chronic obstructive bronchitis (Choice C). Summary: A: ARDS is an acute condition usually caused by severe injury or illness, not chronic smoking. B: Asthma typically presents with wheezing and shortness of breath, not chronic cough with sputum. D: Emphysema is characterized by damage to the air sacs in the lungs

Correct Answer: C

Rationale: The correct answer is C: Radiation. Vaginal cancer is commonly treated with radiation therapy because it allows for targeted treatment to the affected area. It is effective in killing cancer cells and reducing the size of tumors. Surgery (choice A) may be considered depending on the stage of cancer, but radiation is often the primary treatment. Chemotherapy (choice B) and immunotherapy (choice D) are not typically used as first-line treatments for vaginal cancer. Chemotherapy may be used in advanced stages or in combination with radiation, while immunotherapy is still being studied for its effectiveness in treating this type of cancer.