Which chief complaint is NOT desirable for recording on the client’s chart?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Chief complaints should be symptoms or concerns related to the client's health issues. 2. "Physical examination for college" is not a specific symptom or health concern. 3. Chief complaints guide healthcare providers in assessing and treating the client. 4. Recording irrelevant chief complaints can lead to confusion in diagnosis and treatment. Summary of Incorrect Choices: A: Describes specific symptoms, suitable for recording. B: Describes a specific symptom (black stools), suitable for recording. C: Describes a specific symptom (substernal pain), suitable for recording.

Correct Answer: C

Rationale: The correct answer is C: Preventing spread of infection to others. This is the priority because until Mr. Jones' diagnosis is confirmed, it is crucial to prevent potential transmission of any infectious diseases to others. Encouraging rest (choice A) and providing attractive meals (choice D) are important for overall well-being but not as critical as preventing the spread of infection. Monitoring intake and output (choice B) is important for assessing Mr. Jones' health status but does not directly address the potential risk of infecting others. Therefore, choice C is the most immediate priority to ensure the safety of others.

Correct Answer: D

Rationale: The correct answer is D because Mr. Smith's skin rash and slight fever after taking INH for 3 months indicate early signs of drug hypersensitivity. This is supported by the timing of symptoms appearing after prolonged use, which is typical for drug hypersensitivity reactions. Other choices are incorrect: A, developing hepatitis would show different symptoms; B, not taking INH would not explain the symptoms; C, a normal response would not involve rash and fever.

Correct Answer: A

Rationale: The correct answer is A: Below the chest level. Positioning the chest drainage unit below the chest level allows for effective drainage of air or fluid from the chest cavity. Placing it above the chest level may cause backflow or air/fluid accumulation. Option B is incorrect as the unit should be secured to prevent dislodging during transport. Option C is incorrect as removing the unit can lead to complications. Option D is incorrect as clamping the tubes can result in a tension pneumothorax. Positioning the unit below the chest level ensures proper drainage and prevents complications during transport.

Correct Answer: C

Rationale: The correct answer is C, to monitor respiratory status and observe for signs of hypoxia. This is because sudden diarrhea and high fever can indicate a potential infectious illness, which can lead to respiratory complications such as pneumonia. Monitoring respiratory status is crucial to detect any signs of respiratory distress or hypoxia early on. A: Determining his work on an air-conditioning unit is not a priority at this time as it does not directly address his immediate health concerns. B: Placing the patient in isolation may be necessary later depending on the diagnosis, but it is not the priority at this moment. D: Beginning discharge teaching is not appropriate as the patient is currently experiencing acute symptoms that require immediate attention. In summary, monitoring respiratory status is the priority to ensure early detection and intervention for any potential respiratory complications in a patient with sudden diarrhea and high fever.