The client has been diagnosed with chronic sorrow related to her husband's recent diagnosis of terminal cancer. Which action by the nurse would be most helpful to the client?

Correct Answer: D

Rationale: The correct answer is D: Encourage the client to identify potential sources of emotional support. This is the most helpful action because it focuses on providing the client with practical support to cope with her chronic sorrow. By identifying potential sources of emotional support, the client can strengthen her support network and feel less isolated in dealing with her husband's terminal illness. Option A: Questioning the client about her knowledge of cancer treatment options is not the most appropriate action in this scenario as it does not directly address the client's emotional needs related to chronic sorrow. Option B: Questioning the client about her husband's prognosis may increase the client's distress and anxiety, which is not beneficial in supporting her emotional well-being. Option C: Determining the means used by the client to cope with loss in the past is important but may not be the most immediate and practical step in addressing the client's current emotional needs.

Correct Answer: B

Rationale: The correct answer is B: Syphilis. This is because syphilis often presents as painless ulcers called chancres, which can appear on the labia. The primary lesion of syphilis is typically firm, round, and non-tender. Herpes simplex II (choice A) presents with painful vesicles, not painless ulcers. Condylomata acuminata (choice C) are genital warts caused by human papillomavirus, not painless ulcers. Gonorrhea (choice D) commonly presents with urethral discharge or vaginal discharge, not painless ulcers.

Correct Answer: B

Rationale: The correct answer is B because massaging a red and tender tailbone with baby oil can worsen the condition by causing further irritation or infection. Step 1: Identify the potential harm - Massaging a red and tender area can aggravate the skin. Step 2: Analyze the situation - Inflamed skin needs gentle care, not friction. Step 3: Apply critical thinking - Providing the wrong intervention can lead to adverse outcomes. Summary: Choices A, C, and D are all appropriate interventions for promoting the client's well-being, while choice B poses a risk of harm.

Correct Answer: A

Rationale: Rationale: Option A is correct because stress is a common trigger for psoriasis flare-ups. Stress can weaken the immune system and exacerbate inflammatory skin conditions like psoriasis. Asking about stress levels can help identify a potential trigger. Options B, C, and D are incorrect as they do not directly relate to common triggers for psoriasis. Using public showers, other health problems, or medication changes may not necessarily be immediate triggers for psoriasis flare-ups.

Correct Answer: B

Rationale: The correct answer is B: Urine output of 20 mL/hr. This finding indicates inadequate renal perfusion, potentially leading to acute kidney injury, a common complication in burn patients. Low urine output can result from decreased cardiac output and hypovolemia due to fluid loss from burns. In contrast, choices A, C, and D are not directly related to potential complications in burn patients. Choice A (PaO₂ of 80 mm Hg) is within the normal range and does not specifically indicate a complication. Choice C (productive cough with white pulmonary secretions) could suggest a respiratory infection but is not a common complication in burn patients. Choice D (core temperature of 100.6°F) is slightly elevated but not a significant concern compared to the potential impact of inadequate renal perfusion.