The nurse is caring for a client whose diagnosis has been linked to an abnormal secretion of growth hormone. Which illness does the client most likely have?

Correct Answer: C

Rationale: The correct answer is C: Anorexia nervosa. An abnormal secretion of growth hormone is often associated with this eating disorder. Growth hormone plays a role in regulating metabolism and body composition. In anorexia nervosa, the hormonal imbalance can lead to stunted growth and other physical complications. Choice A, acute mania, is incorrect because it is not directly linked to abnormal growth hormone secretion. Choice B, schizophrenia, is a mental disorder and not typically associated with growth hormone abnormalities. Choice D, Alzheimer's disease, is a neurodegenerative disorder and does not have a direct connection to growth hormone abnormalities.

Correct Answer: C

Rationale: The correct answer is C: Anesthesiologist. The anesthesiologist is responsible for monitoring the client's status during surgery, including vital signs, fluid balance, and blood loss. They ensure the patient's safety and well-being throughout the procedure. A: The scrub nurse assists the surgeon by handing instruments and maintaining a sterile field. B: The surgeon performs the surgical procedure but is not responsible for monitoring the client's status. D: The circulating nurse manages the overall operating room environment and assists with equipment, supplies, and documentation, but not specifically monitoring the client's status.

Correct Answer: D

Rationale: The correct answer is D because an inaccurate, incomplete, and inadequate medical record can lead to errors in patient care, misdiagnosis, incorrect treatment, and legal consequences. Inaccurate information can harm the patient and jeopardize the healthcare provider's credibility. An incomplete record may result in crucial details being missed, impacting decision-making. An inadequate record fails to provide a comprehensive picture of the patient's health history, leading to suboptimal care. Choices A, B, and C are incorrect because a voluminous record, subpoenaed record, or missing record can be managed or addressed without directly causing harm to the patient or healthcare provider.

Correct Answer: D

Rationale: The correct answer is D: postoperative respiratory function. Smoking 3 packs of cigarettes a day for 10 years can lead to respiratory issues such as decreased lung function, increased risk of respiratory infections, and impaired wound healing due to reduced oxygen levels in the blood. This will negatively impact postoperative respiratory function, making it harder for the client to recover and potentially leading to complications like pneumonia. A: Perioperative anxiety and stress are not directly related to smoking habits but can be influenced by various factors such as fear of surgery or anesthesia. B: Delayed coagulation time is more related to factors like medication use or underlying medical conditions affecting blood clotting, not smoking habit. C: Delayed wound healing can be affected by smoking due to reduced blood flow and oxygen delivery, but it is not the primary concern in this scenario compared to postoperative respiratory function.

Correct Answer: D

Rationale: Step-by-step rationale for why option D is correct: 1. In an asthmatic attack, leaning forward helps to open up the airways. 2. Leaning forward at 30-40 degrees assists in improving airflow during exhalation. 3. This position also helps to reduce the pressure on the diaphragm, making breathing easier. 4. It promotes better oxygen exchange and reduces the feeling of breathlessness. Summary of why other choices are incorrect: A. Sitting in high-Fowler's position with extended legs does not facilitate optimal airflow during an asthmatic attack. B. Sitting up with shoulders back may not provide the necessary support for breathing during an asthmatic attack. C. Pushing on the abdomen during exhalation does not directly address the airway obstruction that occurs in an asthmatic attack.