The nurse is examining the lymphatic system of a healthy 3-year-old child. Which finding should the nurse expect?

Correct Answer: B

Rationale: The correct answer is B: Presence of palpable lymph nodes. In children, lymph nodes are more superficial and easily palpable due to their higher metabolic rate and active immune system. This is a normal finding in healthy children. Excessive swelling of lymph nodes (A) would indicate an abnormal response to infection. The absence of palpable nodes (C) is not expected as even in young children, lymph nodes are palpable. Having fewer and smaller lymph nodes (D) is not typical in healthy children and would be concerning for an underlying issue.

Correct Answer: C

Rationale: The correct answer is C: Rapid and deep breathing. In diabetic ketoacidosis, the body compensates for metabolic acidosis by increasing the respiratory rate (rapid) and depth (deep) in an effort to blow off excess carbon dioxide and decrease blood acidity. This is known as Kussmaul breathing. Option A is incorrect because normal breathing would not be expected in a state of metabolic acidosis. Option B is incorrect as rapid and shallow breathing is not typically seen in diabetic ketoacidosis. Option D is incorrect as slow breathing is not a characteristic of compensatory mechanisms in diabetic ketoacidosis.

Correct Answer: D

Rationale: The correct answer is D because in an emergency situation with a patient who has severe injuries, the top priority is to collect critical information as you begin lifesaving measures. This includes obtaining information such as the patient's name, age, allergies, current medications, and any known medical conditions. This information is crucial for providing appropriate and timely treatment to the patient. Options A, B, and C are incorrect because in a life-threatening emergency, collecting the complete health history, full physical examination, or detailed medical history should not delay immediate life-saving interventions. Prioritizing critical information gathering ensures that necessary actions are taken promptly to stabilize the patient's condition.

Correct Answer: A

Rationale: The correct answer is A because asking about the pros and cons of surgery is therapeutic. It allows the client to explore the benefits and risks, make informed decisions, and feel empowered in their healthcare choices. It encourages open communication and shared decision-making between the client and healthcare provider. Choice B is incorrect because seeking information about treatment options is a crucial part of the therapeutic process. Choices C and D are not applicable as they do not provide any information on whether the statement is therapeutic or nontherapeutic.

Correct Answer: B

Rationale: The correct answer is B because pain with hip extension is not typically associated with iliopsoas bursitis and tendonitis. The iliopsoas muscle is responsible for hip flexion, so pain is usually felt with activities that involve hip flexion. Choices A, C, and D are incorrect because these are commonly associated with iliopsoas bursitis and tendonitis. A: Snapping hip syndrome is related to the iliopsoas tendon moving over the hip joint. C: Pain deep in the groin and radiating to the front of the hip is a common presentation. D: Iliopsoas bursitis and tendonitis can involve inflammation or injury to the tendon, but complete rupture is less common.