What information is most useful for planning care for an 84-year-old client?

Correct Answer: B

Rationale: The correct answer is B: Current health promotion activities. This information is crucial for planning care as it provides insight into the client's current habits and practices that can impact their health. By knowing their current health promotion activities, healthcare providers can tailor care plans to support and enhance these activities. A: General health for the last 10 years may provide historical context but may not reflect the current status or needs of the client. C: Family history of diseases is important but may not directly impact the care planning for the individual client. D: Marital status is relevant for certain aspects of care planning, but it may not be as directly linked to the client's current health status and needs as their health promotion activities.

Correct Answer: A

Rationale: The correct answer is A because rubbing with long smooth strokes from distal to proximal parts of the extremities follows the direction of venous blood flow towards the heart, aiding venous return. This action helps prevent blood pooling in the extremities. Circular massage strokes (B) may not be as effective in promoting venous return. Rubbing with short strokes from proximal to distal parts (C) goes against the natural flow of venous blood. Smooth long strokes alternating with chopping motions (D) may not consistently promote venous blood flow in the correct direction.

Correct Answer: B

Rationale: Correct Answer: B - Avoid green leafy vegetables. Rationale: 1. Coumadin is a blood thinner that works by affecting vitamin K levels. 2. Green leafy vegetables are high in vitamin K, which can interfere with Coumadin's effectiveness. 3. Instructing the client to avoid green leafy vegetables helps maintain a consistent level of vitamin K in the diet, thus ensuring the proper effect of Coumadin. Summary of other choices: A: Having a PTT done monthly is not necessary for a client discharged with Coumadin. C: Drinking more liquids is not directly related to Coumadin therapy. D: Avoiding crowds is unrelated to Coumadin therapy and does not impact its effectiveness.

Correct Answer: B

Rationale: The correct answer is B: 15 seconds. Suction attempts should generally be limited to 15 seconds to prevent hypoxia and tissue damage. Prolonged suctioning can lead to decreased oxygenation and potential trauma to the airway. Choice A (5 seconds) may not be sufficient for effective suctioning. Choice C (30 seconds) and D (1 minute) exceed the recommended time limit and increase the risk of complications. Therefore, choice B is the most appropriate duration for a suction attempt.

Correct Answer: D

Rationale: The correct first action is D: Consult with the primary health care provider (PHCP) regarding initiation of oxygen therapy. This is because the client is showing signs of a potential transfusion reaction, likely a pulmonary embolism. The client's rapid heart rate, bounding pulse, and crackling sound at the base suggest a possible pulmonary issue. Oxygen therapy is crucial to improve oxygenation and stabilize the client's condition. Consulting with the PHCP ensures timely intervention and appropriate management. A: Maintaining bed rest with legs elevated would not address the potential respiratory distress the client is experiencing. B: Placing the client in high-Fowler's position may help improve oxygenation, but consulting the PHCP for oxygen therapy is the priority. C: Increasing the rate of IV fluids is not the priority when the client is showing signs of a potential serious complication like a pulmonary embolism.