To facilitate palpation of thyroid gland, the nurse instructs the client to:

Correct Answer: A

Rationale: The correct answer is A: swallow. Swallowing causes the thyroid gland to move upward, making it easier to palpate. Holding the breath (B) does not affect the position of the thyroid gland. Flexing the neck (C) may obstruct the view of the thyroid gland. Hyperextending the neck (D) can cause discomfort and make palpation difficult. Swallowing is the most effective method to locate and palpate the thyroid gland accurately.

Correct Answer: B

Rationale: The correct answer is B: Nutritional consult. Poor wound healing in an obese client may be due to inadequate nutrition. A nutritional consult can assess the client's dietary intake and provide recommendations to support healing. Podiatry referral focuses on foot care, not addressing the root cause of poor wound healing. Pulmonologist referral is unrelated to wound healing in this scenario. Physical therapy may be beneficial for mobility but does not directly address the nutritional aspect affecting wound healing. Therefore, a nutritional consult is the most appropriate choice to address the underlying issue.

Correct Answer: A

Rationale: The correct answer is A: hypokalemia. Furosemide is a loop diuretic that can lead to potassium loss through increased urine output. Hypokalemia is a common side effect of furosemide and can manifest as muscle weakness, fatigue, and cardiac dysrhythmias. It is crucial for the nurse to monitor the client's potassium levels to prevent complications. Incorrect choices: B: Hyperkalemia is unlikely with furosemide use as it typically causes potassium depletion. C: Hypocalcemia is not a common side effect of furosemide. D: Hypernatremia is not typically associated with furosemide use, as it primarily affects potassium and water balance.

Correct Answer: A

Rationale: Rationale: Falls are the leading cause of injury-related deaths in adults 65 and older due to age-related changes affecting balance and coordination. Elderly individuals are more prone to falls, leading to serious injuries such as hip fractures and head trauma. Falls can also result in long-term disabilities and decreased quality of life. Violence (B) is less common in this age group. Alcoholism (C) may contribute to falls but is not the primary cause. Motor vehicle accidents (D) are more prevalent in younger age groups.

Correct Answer: B

Rationale: The correct answer is option B) creation of the first nursing school. This marked Florence Nightingale's influence on the formalization and professionalization of nursing education. Nightingale established the first nursing school at St. Thomas' Hospital in London in 1860. This marked a significant milestone as it laid the foundation for modern nursing education. Option A) establishment of the ANA (American Nurses Association) is incorrect because the ANA was founded in 1896, after Nightingale's time, and while it has been crucial in advancing the profession, it was not the milestone that directly marked Nightingale's influence on nursing education. Option C) introduction of evidence-based practice is also incorrect as this concept emerged much later in the history of nursing, not during Nightingale's era. Option D) development of specialized nursing fields is also an incorrect choice as it pertains to the diversification and expansion of nursing roles, which occurred over time and was not directly linked to Nightingale's establishment of the first nursing school. Understanding the historical context of nursing education and the pivotal role played by Florence Nightingale in setting up the first formal nursing school is crucial for nursing students to appreciate the evolution of their profession. This milestone not only contributed to the professionalization of nursing but also set a standard for nursing education that continues to influence nursing practice today.