Correct Answer: D

Rationale: Tetanus causes severe muscle spasms and sensitivity to stimuli, so minimizing stimuli like light, sound, and touch can help prevent painful spasms. Monitoring vital signs and administering antibiotics are important but managing stimuli is crucial for the child's comfort and safety.

Correct Answer: B

Rationale: Beta-blockers can cause hypotension, so it's important to monitor the client's blood pressure closely.

Correct Answer: D

Rationale: Verifying that the client has completed bowel prep ensures the colon is clear for accurate visualization during the procedure.

Correct Answer: A

Rationale: Stopping the transfusion prevents further reactions, and notifying the healthcare provider ensures timely intervention.

Correct Answer: A

Rationale: A blood sugar level of 45 mg/dL indicates severe hypoglycemia, which can lead to life-threatening complications if not treated immediately. The priority is to administer IV dextrose to rapidly increase the blood sugar level. Offering a carbohydrate snack may follow once the client is stable.