After undergoing a cardiac catheterization, Tracy has a large puddle of blood under his buttocks. Which of the following steps should the nurse take first?

Correct Answer: D

Rationale: The correct first step is D: Apply gloves and assess the groin site. By applying gloves, the nurse ensures infection control. Assessing the groin site helps identify any potential bleeding or complications post-catheterization, guiding further interventions. Calling for help (A) may be necessary but assessing the site is immediate. Obtaining vital signs (B) is important but not as critical as assessing the site. Asking the client to "lift up" (C) is not appropriate before assessing the site for potential complications.

Correct Answer: C

Rationale: The correct answer is C because somatoform disorders involve expressing psychological conflicts through physical symptoms. This is supported by research showing that these disorders are often linked to unresolved emotional issues manifesting as physical complaints. Choice A is incorrect because somatoform disorders are not explained by organic causes but rather by psychological factors. Choice B is incorrect as it suggests a conscious decision to express conflicts, whereas somatoform disorders are typically unconscious. Choice D is incorrect because management of somatoform disorders typically involves psychological interventions rather than specific medical treatments.

Correct Answer: B

Rationale: The correct answer is B: Intolerance to change, disturbed relatedness, stereotypes. Children with autistic disorder often struggle with changes in routine, have difficulties in forming relationships, and exhibit repetitive behaviors or fixations. Intolerance to change is a common feature due to their need for predictability and structure. Disturbed relatedness refers to challenges in social interactions and communication. Stereotypical behaviors like hand-flapping or insistence on sameness are also typical. A: Argumentativeness, disobedience, angry outburst - While children with autism may exhibit behavioral challenges, these specific manifestations are more commonly associated with oppositional defiant disorder or conduct disorder, not necessarily autistic disorder. C: Distractibility, impulsiveness, and overactivity - These symptoms are characteristic of attention-deficit/hyperactivity disorder (ADHD) rather than autistic disorder. D: Aggression, truancy, stealing, lying - While some children with autism may display aggression or difficulties with honesty, truancy, and

Correct Answer: C

Rationale: The correct answer is C because it shows empathy and acknowledges the patient's feelings without dismissing them. By stating "This must be difficult for you and your mother," the nurse validates the patient's emotions and shows understanding. This response fosters a therapeutic relationship and encourages further exploration of the patient's feelings. Choice A is incorrect because it minimizes the patient's feelings and may come across as dismissive. Choice B shifts the focus away from the patient's emotions and onto problem-solving, which may not be what the patient needs at that moment. Choice D is inappropriate as it implies the patient is at fault and suggests a confrontational approach, which is not conducive to therapeutic communication.

Correct Answer: B

Rationale: Correct Answer: B Rationale: Discussing eating behavior may lead to feelings of shame or guilt in bulimic patients, hindering the therapeutic relationship. A: Establishing trust is essential for effective communication and support. C: Helping patients identify feelings encourages self-awareness and emotional regulation. D: Educating patients about bulimia nervosa promotes understanding and empowers them in managing their condition.