Correct Answer: B

Rationale: Maintaining the patient in an orthopneic position as needed is the most appropriate nursing order for a patient experiencing dyspnea and shortness of breath. This position helps to optimize lung expansion, improve oxygenation, and alleviate breathing difficulties. It is a strategic intervention to enhance respiratory function in patients with respiratory distress.

Correct Answer: A

Rationale: The most accurate method for assessing temperature in an alert client is the oral method. It provides a more reliable reflection of the body's core temperature compared to axillary or radial methods. In cases of dehydration, it is important to get an accurate temperature reading to monitor the client's condition closely.

Correct Answer: A

Rationale: The primary goal of performing a bed bath is to cleanse, refresh, and provide comfort to clients who are unable to leave their bed. This helps maintain their hygiene, promotes skin health, and enhances their overall well-being.

Correct Answer: D

Rationale: When a nurse finds a client's pulse rate to be above normal, it is documented as tachycardia. Tachycardia specifically refers to an elevated heart rate, while tachypnea is rapid breathing, hyperpyrexia is high fever, and arrhythmia is an irregular heartbeat. Therefore, the correct term to describe an above-normal pulse rate is tachycardia.

Correct Answer: D

Rationale: Maslow's hierarchy of needs is a theory in psychology that categorizes human needs into five levels. These levels, from the most fundamental to the highest, are physiological needs, safety needs, love and belongingness, esteem needs, and self-actualization. Therefore, all the clusters listed in the choices - love and belonging, physiological needs, and self-actualization - correspond to different levels within Maslow's hierarchy of needs. Choosing 'All of the above' (option D) is the correct answer as it includes all the clusters associated with Maslow's theory.