Before the nurse accompanying a patient on a wheelchair leaves, the admitting nurse should:

Correct Answer: C

Rationale: The correct answer is C: Confirm vital observations. Before the nurse leaves, it is essential to confirm the patient's vital signs to ensure their stability. This step is crucial for the patient's safety and well-being. Administering drugs and documenting should be done by the admitting nurse, not the accompanying nurse. Informing the doctor of the admission is important but should not take precedence over confirming vital observations. Putting the patient in bed is not the immediate priority as vital observations need to be checked first.

Correct Answer: B

Rationale: The correct answer is B: when edema has subsided. This is because applying the drainage appliance too soon can lead to leakage due to swelling around the stoma. Waiting for the edema to subside ensures a proper fit of the appliance, preventing skin irritation and leakage. Choice A (24 hours later) is incorrect because the timing should be based on the individual's stoma condition, not a fixed timeframe. Choice C (In the operating room) is incorrect as applying the appliance immediately after surgery may not account for post-operative changes. Choice D (After the ileostomy begins to function) is incorrect as waiting for function may lead to skin irritation and leakage in the meantime.

Correct Answer: B

Rationale: The correct answer is B: Monitor the client for signs of restlessness. Restlessness is a common symptom of hyperthyroidism, so monitoring for this can help detect any worsening of the condition. Providing extra blankets and clothing (A) is not necessary as hyperthyroidism typically causes heat intolerance. Sweating and weight loss (C) are symptoms of hyperthyroidism itself, not side effects of treatment. Balancing activity and rest (D) is important, but monitoring for restlessness is more specific to the condition.

Correct Answer: C

Rationale: The correct answer is C because placing the comatose client in a side-lying position with the head of the bed lowered helps prevent aspiration and allows oral secretions to drain out. This position also helps in preventing choking and ensures proper airway management. Choice A is incorrect because lemon glycerin can be harmful if aspirated and should not be applied without assessing the client's condition first. Choice B is incorrect because brushing teeth with the client lying supine can increase the risk of aspiration. Choice D is incorrect as hydrogen peroxide is not recommended for oral care in comatose clients due to its potential toxicity if ingested.

Correct Answer: C

Rationale: The correct answer is C: A nosocomial infection. Nosocomial infections are acquired in a healthcare setting, such as hospitals. This is the correct term for infections that occur during medical care. A is incorrect as it refers to infections acquired outside of healthcare facilities. B is incorrect as iatrogenic infections are caused by medical treatment. D is incorrect as opportunistic infections are caused by pathogens that take advantage of weakened immune systems.