When prioritizing a client's plan of care based on Maslow's hierarchy of needs, the nurse's first priority would be:

Correct Answer: C

Rationale: The correct answer is C: Administering pain medication. In Maslow's hierarchy of needs, physiological needs like pain relief are the most basic and must be addressed first for the client's well-being. Administering pain medication ensures the client's physical comfort and safety, which is crucial before addressing other needs. Allowing the family to see the client (A) and ambulating the client (B) are important but not as urgent as addressing pain. Placing wrist restraints on the client (D) should only be considered if absolutely necessary for the client's safety and should not be the first priority.

Correct Answer: B

Rationale: The correct answer is B: A client with significant hemorrhoids. Rectal temperature measurement is contraindicated in clients with significant hemorrhoids due to the risk of causing discomfort, pain, and potential bleeding. It can worsen the condition and lead to complications. A: A client who had adenoidectomy - This does not directly affect the rectal temperature measurement process. C: A client who smokes - Smoking does not specifically contraindicate rectal temperature measurement. D: A client with wired jaws - This does not impact the rectal temperature measurement process.

Correct Answer: B

Rationale: The correct answer is B: Wear disposable gloves. This is a priority nursing action to prevent the spread of infection and protect both the client and the caregiver. By wearing disposable gloves, the nurse maintains proper infection control practices and reduces the risk of transmitting pathogens during oral care procedures. A: Assisting the client to a dorsal recumbent position is not specifically related to oral care and is not a priority action. C: Using a firm toothbrush may cause injury to the client's gums and oral tissues, so it is not the best choice for oral care. D: Irrigating the mouth with hydrogen peroxide is not a recommended practice for routine oral care, as it can be harmful if ingested and may cause irritation to the oral mucosa.

Correct Answer: D

Rationale: The correct answer is D because whitish oval specks sticking to the hair are nits, which are eggs of head lice, confirming pediculosis capitis. Nits are firmly attached to the hair shaft close to the scalp. A: Scratching the head more than usual can be a symptom but not confirmatory. B: Flakes on shoulders could be dandruff. C: Oval pattern occipital hair loss is not specific to head lice.

Correct Answer: B

Rationale: Correct Answer: B (One hour after meals) Rationale: Performing chest physiotherapy one hour after meals helps prevent aspiration during the procedure. Waiting allows food to move from the stomach to the small intestine, reducing the risk of aspiration. Performing chest physiotherapy immediately before meals (A) or during meals (C) could increase the risk of aspiration. Similarly, performing it before bedtime (D) may also increase the risk of aspiration as the patient lies down after the procedure.