Correct Answer: B

Rationale: In this scenario, the immediate need is to provide passive immunity to the adolescent patient. Gamma globulin contains antibodies against hepatitis B, which can offer immediate protection. The hepatitis B vaccine provides active immunity over time but is not immediate. Fresh frozen plasma and corticosteroids are not indicated for immediate protection against hepatitis B infection.

Correct Answer: B

Rationale: Jaundice in a client with liver cirrhosis is primarily caused by increased bilirubin levels. In liver cirrhosis, the impaired liver function leads to the accumulation of bilirubin in the blood, resulting in jaundice. Bilirubin is a yellow pigment produced from the breakdown of red blood cells, and its elevation is a common manifestation of liver dysfunction.

Correct Answer: C

Rationale: It is crucial for patients undergoing external beam radiation therapy to avoid exposing the treated area to sunlight as it can lead to further skin damage. Heat sources like heating pads should be avoided to prevent potential burns. Alcohol-based lotions can irritate the skin, so they should not be used. Washing the treated area with lukewarm water and mild soap is recommended to maintain skin integrity and prevent irritation.

Correct Answer: B

Rationale: Increasing sharp pain related to compartment syndrome necessitates immediate intervention as it may lead to permanent damage to muscles and nerves. Compartment syndrome is a serious condition that requires urgent medical attention to prevent further complications such as tissue necrosis and nerve injury.

Correct Answer: B

Rationale: The correct instruction for a patient with hypothyroidism prescribed levothyroxine is to take the medication in the morning on an empty stomach to enhance absorption. Taking it with meals can interfere with absorption. Patients should not discontinue the medication without consulting their healthcare provider as it can lead to adverse effects. Doubling the dose if a dose is missed can increase the risk of side effects and overdosage. It is crucial for patients to follow the prescribed dosing schedule and consult their healthcare provider for any concerns or missed doses.