Correct Answer: C

Rationale: Feces, urine, blood, and other body fluids are considered as vehicles of transmission in the context of communicable diseases. These substances can carry and transmit disease-causing microorganisms such as bacteria, viruses, and parasites from infected individuals to others. Through close contact or exposure to these contaminated body fluids, the pathogens can enter the body of another person and cause infection. Nurses like Nurse Keena must exercise caution and use appropriate infection control measures to prevent transmission of communicable diseases through these vehicles.

Correct Answer: B

Rationale: The symptoms described - gradual-onset weakness, spasticity, hyperreflexia, positive Babinski sign, and demyelinating plaques in the white matter of the brain and spinal cord - are indicative of multiple sclerosis (MS). MS is an autoimmune disease where the body's immune system attacks the myelin sheath, leading to the formation of plaques in the central nervous system. The characteristic symptoms of MS include weakness, spasticity (stiffness in muscles), hyperreflexia (exaggerated reflex responses), and positive Babinski sign (upward movement of the big toe). While ALS (Amyotrophic lateral sclerosis) presents with progressive muscle weakness and atrophy without sensory involvement and demyelinating plaques, Guillain-Barré syndrome (GBS) is typically an acute inflammatory demyelinating polyneuropathy affecting peripheral nerves rather than the central nervous system, and myast

Correct Answer: C

Rationale: False imprisonment is the act of improperly restraining another individual against their will. In this scenario, the nurse's threat of putting the client into seclusion and administering an injection to restrain them for inappropriate behavior constitutes false imprisonment. The client is being restricted in their movement without valid reason or proper procedure. This type of action is not acceptable in healthcare settings and violates the client's rights. It is important for healthcare professionals to use appropriate de-escalation techniques and interventions to manage challenging behaviors without resorting to threats of physical restraint.

Correct Answer: C

Rationale: In assigning rooms for the injured patients, the most appropriate and compassionate choice is to have mother and child together in one room. This decision prioritizes the well-being and emotional support for the child, as having the mother nearby can have a positive impact on the child's recovery. It also promotes family bonding during a difficult time, which can aid in the healing process. Additionally, the presence of a parent can provide comfort and reassurance to the child, contributing to a more positive hospital experience. Therefore, it is important for the nurses to coordinate with the Administration to ensure that mother and child are assigned to the same room whenever possible.

Correct Answer: C

Rationale: Placing the patient on an alternating pressure mattress demonstrates evidence-based practice in pressure injury prevention. Alternating pressure mattresses are designed to change pressure points by alternating pressure across different parts of the body, reducing the risk of pressure injuries. Regularly turning and repositioning the patient (Choice B) is also important in preventing pressure injuries, but an alternating pressure mattress provides additional support and prevention measures. Applying moisturizing lotion (Choice A) and massaging bony prominences (Choice D) may be beneficial for skin care, but they are not proven strategies for pressure injury prevention.