You need to hang a 1000-mL intravenous (IV) bag of 5% dextrose in water with 20 mEq of potassium chloride. However, since the patient also has infection, she is also prescribed with piperacillin/tazobactam and it also needs to be administered now. The client has one IV site. Which action should you do first?

Correct Answer: B

Rationale: The correct answer is B: Check compatibility of the medication and IV fluids. Before administering the medications, it is crucial to ensure compatibility to prevent any adverse reactions or inactivation of the drugs. Checking compatibility involves verifying if the medications can be safely mixed and administered through the same IV line. This step helps in maintaining the effectiveness of the medications and ensuring patient safety. Summary: - Starting a second IV site (Choice A) is not necessary unless compatibility issues arise. - Mixing the prepackaged piperacillin/tazobactam per agency policy (Choice C) should only be done after verifying compatibility. - Priming the tubing with the IV solution and back-priming the medication (Choice D) should be done after confirming compatibility to avoid wastage.

Correct Answer: C

Rationale: The correct answer is C: Petrolatum jelly gauze. This material helps create a seal around the chest tube insertion site to prevent air leaks and infections. Step-by-step rationale: 1. Petrolatum jelly gauze provides an occlusive barrier to protect the site. 2. It helps maintain a moist environment for wound healing. 3. It reduces the risk of skin irritation. Summary: A dry sterile gauze (choice A) does not provide a proper seal or moisture needed for healing. Absorbent kelix dressing (choice B) may not create a sufficient barrier. Gauze with betadine (choice D) can be irritating and delay wound healing.

Correct Answer: B

Rationale: Step 1: Asking the client to describe the pain allows for a detailed account, aiding in identifying the cause. Step 2: Descriptions like sharp, dull, stabbing, or burning help determine the nature of the pain. Step 3: Location (choice C) and timing (choice A) are important but secondary to understanding the quality of pain. Step 4: Describing pain as stabbing (choice D) limits the client's response to a specific characteristic. Summary: Choice B is correct as it elicits comprehensive information about the pain quality, while the other choices focus on specific aspects that may not provide as much insight.

Correct Answer: D

Rationale: The correct answer is D because identifying elements of the basic diabetic diet is a short-term goal that is specific, measurable, achievable, relevant, and time-bound (SMART). This goal directly addresses the immediate need to manage blood glucose levels through proper nutrition. By the end of the week, the client should be able to apply this knowledge to their daily routine. A: While coping with anxiety is important, it is not directly related to the short-term management of diabetes. B: Understanding how to prevent complications is essential but may be a more long-term goal. C: Teaching about signs and symptoms of hypoglycemia and hyperglycemia is crucial, but it is more of an immediate educational need rather than a goal for the client to achieve.

Correct Answer: B

Rationale: The correct answer is B because 20/40 vision means the client can read at 20 feet what a person with normal vision can read at 40 feet. This indicates that the client's visual acuity is reduced compared to someone with normal vision. Choice A is incorrect because it assumes the client can see the entire chart at 40 feet, which is not true for 20/40 vision. Choice C is incorrect because it suggests the client has different visual acuity in each eye, which is not the definition of 20/40 vision. Choice D is incorrect because it incorrectly states that the client can read at 30 feet what a person with normal vision can read at 40 feet, which is not the correct interpretation of 20/40 vision.