What should Nurse Maureen do if a male client begins choking on his lunch but is coughing forcefully?

Correct Answer: D

Rationale: The correct answer is D because if a person is coughing forcefully, it indicates that their airway is not completely blocked. Intervening with abdominal thrusts in this scenario can potentially make the situation worse by causing the object to become more lodged. Therefore, staying with the person but not intervening allows them to continue coughing and attempting to clear the obstruction themselves. Monitoring the person closely is important in case the situation worsens and they become unable to breathe or speak. The other choices are incorrect because they involve performing abdominal thrusts, which is not recommended when the person is able to cough effectively.

Correct Answer: B

Rationale: The correct answer is B: Young children. Nutrition education should not target young children because they are not responsible for making their own food choices. Educating children directly may not be as effective as targeting parents or caregivers who are responsible for providing nutritious meals. Food handlers, food service people, and mothers are appropriate targets for nutrition education as they play direct roles in food preparation and decision-making. It is important to prioritize education for those who have the most influence on food choices in order to promote healthy eating habits effectively.

Correct Answer: B

Rationale: The correct answer is B: One hour after meals. Performing chest physiotherapy after meals helps prevent potential issues like reflux or vomiting during treatment. Waiting one hour allows for digestion to begin, reducing the risk of regurgitation. Performing chest physiotherapy immediately before meals (A) may cause discomfort or interfere with eating. During meals (C) is not ideal as it can disrupt the eating process. Before bedtime (D) may lead to discomfort while lying down and could affect sleep. Thus, the best timing for chest physiotherapy is one hour after meals to ensure effectiveness and patient comfort.

Correct Answer: C

Rationale: Rationale: Choice C is correct because instilling intermediate-acting insulin into the vial of short-acting insulin is incorrect practice as it can lead to incorrect dosing and timing. The client should not mix different types of insulin in the same vial. Incorrect Choices: A: Rolling the vial to mix intermediate-acting insulin is a correct technique. B: Instilling air into insulin vials is incorrect but not related to combining insulins. D: Inverting vials before withdrawing insulin is a common practice and not indicative of issues in combining insulins.

Correct Answer: D

Rationale: The correct answer is D: Look for signed informed consent. This is the first step because before any medical procedure, including blood transfusion, it is essential to ensure that the patient has given informed consent. This protects the patient's autonomy and ensures they are aware of the risks and benefits. Checking patient vital signs (A) can be done after obtaining consent. Ordering blood (B) and obtaining administration tubing (C) are important but should come after confirming consent.