Which of the ff actions should the nurse perform before a client with impaired physical mobility gets up?

Correct Answer: A

Rationale: Before a client with impaired physical mobility gets up, the nurse should ensure that the appropriate assistive device is available and properly set up for the client to use. Using parallel bars or a walker provides support and stability, helping the client maintain balance and prevent falls while standing and walking. This would be the most suitable action to take before assisting the client in getting up to ensure their safety and mobility. Applying incontinence pads, an abdominal binder, or using a footboard are not directly related to the immediate need of assisting the client with impaired physical mobility in getting up.

Correct Answer: D

Rationale: Face recognition typically occurs earlier than 26 weeks.

Correct Answer: C

Rationale: It is safer to restrict fluid intake rather than administer sodium to return a patient with hyponatremia to normal sodium levels to prevent fluid overload symptoms. Restoring normal sodium levels in patients with hyponatremia requires caution to prevent rapid correction which can lead to osmotic demyelination syndrome. By restricting fluid intake, the dilutional effect on sodium levels can be reduced, aiding in a safer and more controlled correction of hyponatremia without causing fluid overload. Administering sodium can lead to rapid changes in sodium levels, increasing the risk of complications.

Correct Answer: C

Rationale: Leukemia is a type of cancer that affects the blood and bone marrow, leading to an overproduction of abnormal white blood cells. The symptoms of leukemia can include fatigue, weakness, weight loss, frequent infections, fever, bruising or bleeding easily, and bone pain. Given the vague presenting symptoms and the potential involvement of multiple bodily systems, leukemia is a condition that should be suspected and investigated further. Anemia, rheumatic arthritis, and systematic lupus erythematosus can also present with some similar symptoms, but for the given scenario, leukemia is the most probable condition to suspect.

Correct Answer: A

Rationale: The Philadelphia chromosome (t(9;22)) is associated with a high risk of relapse in ALL.