Nurse Monett is caring for a client recovering from gastrointestinal bleeding. The nurse should:

Correct Answer: B

Rationale: The correct answer is B, to monitor vital signs every 2 hours. This is crucial in assessing the client's condition post-gastrointestinal bleeding for signs of deterioration like hypovolemia or shock. Vital signs monitoring helps in early detection of any complications and guides further interventions. A is incorrect because uninterrupted sleep is not the priority in this situation. C is important but not as critical as monitoring vital signs. D is incorrect as milk is not recommended post-gastrointestinal bleeding due to potential irritation. Monitoring vital signs every 2 hours allows for timely intervention and assessment of the client's condition.

Correct Answer: D

Rationale: The correct answer is D because if a person is coughing forcefully, it indicates that their airway is not completely blocked. Intervening with abdominal thrusts in this scenario can potentially make the situation worse by causing the object to become more lodged. Therefore, staying with the person but not intervening allows them to continue coughing and attempting to clear the obstruction themselves. Monitoring the person closely is important in case the situation worsens and they become unable to breathe or speak. The other choices are incorrect because they involve performing abdominal thrusts, which is not recommended when the person is able to cough effectively.

Correct Answer: B

Rationale: The correct answer is B: The 89-year-old client with end-stage right-sided heart failure blood pressure of 78/50 mm Hg and a “do not resuscitate” order. This client should be assessed first because of the critically low blood pressure and the "do not resuscitate" order, indicating the client's preference for end-of-life care. This situation requires immediate intervention and communication with the healthcare team to ensure the client's wishes are respected. Choice A is stable with heart failure but has normal vital signs. Choice C is receiving I.V. heparin for thrombophlebitis, which is important but not immediately life-threatening. Choice D has new-onset atrial fibrillation but is stable and receiving appropriate treatment. Prioritizing based on acuity and potential for deterioration is crucial in nursing practice.

Correct Answer: B

Rationale: The correct answer is B: Young children. Nutrition education should not target young children because they are not responsible for making their own food choices. Educating children directly may not be as effective as targeting parents or caregivers who are responsible for providing nutritious meals. Food handlers, food service people, and mothers are appropriate targets for nutrition education as they play direct roles in food preparation and decision-making. It is important to prioritize education for those who have the most influence on food choices in order to promote healthy eating habits effectively.

Correct Answer: B

Rationale: The correct answer is B: One hour after meals. Performing chest physiotherapy after meals helps prevent potential issues like reflux or vomiting during treatment. Waiting one hour allows for digestion to begin, reducing the risk of regurgitation. Performing chest physiotherapy immediately before meals (A) may cause discomfort or interfere with eating. During meals (C) is not ideal as it can disrupt the eating process. Before bedtime (D) may lead to discomfort while lying down and could affect sleep. Thus, the best timing for chest physiotherapy is one hour after meals to ensure effectiveness and patient comfort.