Correct Answer: B

Rationale: The correct answer is B: Administer thrombolytics. Thrombolytics help dissolve blood clots, which may be causing the stroke. Administering thrombolytics promptly can improve blood flow to the brain, potentially reducing the severity of the stroke and its effects, including difficulty speaking. Calling for help (A) is important, but administering thrombolytics should be a priority. Performing a CT scan (C) may help confirm the type of stroke but may delay immediate treatment. Administering bronchodilators (D) is not indicated for difficulty speaking related to stroke.

Correct Answer: B

Rationale: The correct answer is B: dominant health care culture. The scenario illustrates the influence of the dominant health care culture, where the daughter, as a dental hygienist, is advocating for her mother to follow the plan of care based on her professional knowledge and beliefs. This highlights the power dynamics and authority within the healthcare system, where individuals with certain expertise may exert influence over others, even family members. This is distinct from generational differences (A) which focus on age-related disparities, lack of respect for independence (C) which emphasizes autonomy and decision-making, and critical cultural perspective (D) which involves a deeper analysis of cultural influences on healthcare interactions.

Correct Answer: A

Rationale: The correct answer is A: Administer albuterol. Albuterol is a bronchodilator that helps open airways, making it effective in treating respiratory distress. It works quickly to relieve symptoms such as shortness of breath and wheezing. Corticosteroids (B) may be used in conjunction with albuterol for severe cases, but albuterol is the immediate intervention. Providing pain relief (C) is not the primary intervention for respiratory distress. Nebulizers (D) are a delivery method for medications like albuterol, but the key intervention is administering the medication itself.

Correct Answer: A

Rationale: The correct answer is A: Administer IV fluids. The initial priority in managing sepsis is to restore perfusion and oxygenation by giving IV fluids to support blood pressure and organ perfusion. This helps to improve tissue oxygenation and prevents further organ damage. Administering insulin (choice B) is not the priority in the initial management of sepsis. Monitoring blood pressure (choice C) is important but not the first step in the management of sepsis. Administering insulin is also listed twice and is not relevant to the immediate management of sepsis.

Correct Answer: B

Rationale: The correct answer is B: secondary prevention. Teaching a client with gonorrhea about reinfection prevention falls under secondary prevention, which aims to detect and treat a disease early to prevent complications and further transmission. This intervention occurs after the client has already been diagnosed with gonorrhea, focusing on preventing reinfection and spreading the infection to others. A: Primary prevention focuses on preventing the disease from occurring in the first place, such as promoting safe sex practices to prevent gonorrhea infection. C: Tertiary prevention involves managing and preventing complications of a disease that has already occurred, which is not the case with teaching about reinfection prevention. D: Primary health care prevention is a broad term that encompasses various aspects of healthcare delivery, but it does not specifically address the prevention of reinfection in a client with gonorrhea.