The client comes to the clinic complaining of sudden onset of high fever, chills, and a headache. The nurse assesses a patchy macular rash on the trunk and a circular type of rash that looks like an insect bite. Which question would be most appropriate for the nurse to ask during the interview?

Correct Answer: C

Rationale: The correct answer is C: "Have you been deer hunting in the last week?" This question is the most appropriate because the client's symptoms of fever, chills, headache, patchy macular rash, and circular rash resembling an insect bite could indicate Lyme disease, which is commonly transmitted through deer ticks. By asking about deer hunting, the nurse can gather crucial information about potential exposure to ticks in the environment. Summary of why the other choices are incorrect: A: "Do you own dogs that stay in the yard?" - Owning dogs may be relevant for exposure to ticks but does not specifically address the client's recent activities that could have led to tick exposure. B: "Have you been working in your garden lately?" - While gardening can also lead to tick exposure, it is not as directly related to the specific symptoms presented by the client in this case. D: "Do you use sunscreen when you are outside?" - Sunscreen use is not relevant to the symptoms described and does

Correct Answer: D

Rationale: The correct answer is D. It is crucial to educate the client about how leprosy is transmitted to prevent further spread. Hospital admission may not be necessary for all cases. Administering dapsone for only one month is insufficient for treating leprosy. Using moisturizing lotion does not address the transmission of the disease. Therefore, discussing transmission methods is the priority intervention.

Correct Answer: C

Rationale: The correct answer is C: Increasing the amount of intravenous (IV) lactated Ringer's solution administered per hour. This is the most appropriate action to address the client's hypovolemia due to burn injury. The client's low blood pressure, tachycardia, and decreased urine output indicate inadequate fluid resuscitation. Increasing the IV fluid rate will help improve perfusion and fluid balance. Option A (Transfusing 1 unit of packed red blood cells) is incorrect because the client's low blood pressure is likely due to hypovolemia rather than anemia. Option B (Administering a diuretic to increase urine output) is contraindicated as the client is already hypovolemic and needs fluid resuscitation. Option D (Changing the IV lactated Ringer's solution to one that contains 5% dextrose in water) is not appropriate as the primary concern is to address hypovolemia rather than providing additional

Correct Answer: A

Rationale: Step 1: Assessing pain on a 1-to-10 scale is crucial in managing lumbar strain as it helps determine the severity and effectiveness of interventions. Step 2: Pain assessment guides treatment adjustments and ensures optimal pain control for the client. Step 3: Administering pain medication PRN without proper assessment may lead to overmedication or under-treatment. Step 4: Providing a regular bedpan for elimination is not directly related to managing lumbar strain. Step 5: Assessing surgical dressing every four hours is not necessary for a client with lumbar strain unless there are specific indications.

Correct Answer: A

Rationale: The correct answer is A because calcium is crucial for bone health and development, especially during pregnancy. Pregnant teenagers need adequate calcium intake to support both their own bone health and the baby's growth. Calcium supplements help ensure they meet the recommended daily intake. Choice B is incorrect as foods low in calcium and high in phosphorus can actually contribute to bone density loss. Choice C is incorrect as osteoporosis can develop earlier in life, not just around age 50. Choice D, while important for overall health, does not specifically address the need for calcium intake to prevent osteoporosis during pregnancy.