A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to

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Question 1 of 5

A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to

Correct Answer: C

Rationale: Performing 5 abdominal thrusts is the initial action for a choking toddler, per pediatric BLS guidelines. It dislodges the obstruction swiftly. Mouth-to-mouth is post-clearance, water worsens choking, and calling delays care. C prioritizes airway clearance.

Question 2 of 5

A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?

Correct Answer: B

Rationale: Talking with the client about the herbal preparation is the initial action. It assesses preferences and builds trust, per therapeutic communication. Reporting or contacting skips understanding, and explaining may dismiss concerns. B informs subsequent steps.

Question 3 of 5

What is the major developmental task that the mother must accomplish during the first trimester of pregnancy?

Correct Answer: A

Rationale: Acceptance of the pregnancy is the major task in the first trimester. It establishes maternal role foundation, per developmental theory. Termination is situational, fetus acceptance is later, and fears are ongoing. A is the initial step.

Question 4 of 5

The nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?

Correct Answer: C

Rationale: Respiratory rate of 32 requires immediate attention in DVT. Tachypnea suggests pulmonary embolism, per vascular nursing. Fever indicates infection, pulse is normal, and BP is concerning but secondary. C prioritizes life-threatening complications.

Question 5 of 5

A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void?

Correct Answer: C

Rationale: Assisting him to stand by the bed is most likely to help voiding. Gravity aids bladder emptying post-surgery, per urological nursing. Water adds volume, Credé's risks injury, waiting delays. C leverages physiology.

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