When prioritizing care, which of the following clients should the nurse Olivia assess first?

Correct Answer: B

Rationale: The correct answer is B because Guillain-Barre syndrome is a rapidly progressive neurological disorder that can lead to life-threatening complications like respiratory failure. Assessing this client first is crucial to monitor for any signs of respiratory distress or deterioration. The other options are not immediate priorities as they are either stable post-surgery (A), post-myocardial infarction for 3 days (C), or with diverticulitis (D) which does not pose an immediate life-threatening risk compared to Guillain-Barre syndrome.

Correct Answer: A

Rationale: The correct answer is A: Adult respiratory distress syndrome (ARDS). ARDS is a severe lung condition characterized by rapid onset of widespread inflammation in the lungs. In this case, Johnny's severe hypoxia 48 hours after the fire indicates a severe respiratory issue. ARDS is a common complication of smoke inhalation due to the inflammatory response in the lungs. The other choices are incorrect because: B: Atelectasis is the collapse of lung tissue, typically due to blockages or pressure, which would not explain the severe hypoxia in this scenario. C: Bronchitis is an inflammation of the bronchial tubes, which would not lead to the rapid onset of severe hypoxia seen in ARDS. D: Pneumonia is an infection in the lungs, but it would not typically present with such rapid and severe hypoxia as seen in ARDS.

Correct Answer: B

Rationale: To calculate the amount of Digoxin to administer, we use the formula: Dose ordered (0.12 mg) / Dose on hand (0.05 mg) x Volume on hand (1 ml) = Volume to administer 0.12 / 0.05 x 1 = 2.4 ml Therefore, the nurse should administer 2.4 ml of Digoxin to the child. Choice B is correct because it accurately calculates the correct volume based on the dosage ordered and the concentration of the solution. Choice A, C, and D are incorrect as they do not calculate the correct volume based on the dosage and concentration provided in the question.

Correct Answer: C

Rationale: The correct answer is C: A Rh-negative. The rationale is that the client with AB negative blood type can receive blood from donors with blood type A or B, as well as Rh-negative blood to avoid any immune reactions. Choice A is incorrect because it is Rh-positive, which can lead to a hemolytic reaction. Choice B is incorrect because it is Rh-positive, which is not compatible with AB negative blood type. Choice D is incorrect because it is O, which is not compatible with AB blood type. Therefore, choice C is the safest option for the client to receive a blood transfusion without any adverse reactions.

Correct Answer: B

Rationale: The correct answer is B: Pulmonary embolism. Norma's symptoms of chest tightness, shortness of breath, tachypnea, and decreased consciousness are classic signs of a pulmonary embolism, which is a blockage in one of the pulmonary arteries in the lungs. These symptoms are due to a sudden obstruction of blood flow to the lungs, leading to impaired oxygen exchange and potentially life-threatening consequences. A: Asthma attack is incorrect because although asthma can present with chest tightness and shortness of breath, it typically does not cause a decreased level of consciousness. C: Respiratory failure is incorrect because it is a broad term that describes the inability of the respiratory system to adequately oxygenate the blood and remove carbon dioxide. It does not specifically point to the sudden onset of symptoms described in the scenario. D: Rheumatoid arthritis is incorrect because it is a chronic autoimmune disease that primarily affects the joints, and it does not present with the acute respiratory symptoms and decreased