Correct Answer: C

Rationale: Having the guard sign a release of information form may not be appropriate in an emergency situation and immediate action is needed to address the injury. Telling the guard to submit an inmate inquiry form to the warden may delay necessary medical intervention in an emergency. Completing an incident report is appropriate to document the situation and the care provided. It is not necessary to disclose the inmate's HIV status in the report. Instructing the guard to ask the inmate is not a proper approach to handling a medical emergency. The nurse should focus on providing immediate care to the injured inmate.

Correct Answer: D

Rationale: Two-point gait involves simultaneous partial weight-bearing on both legs. For a client who can bear weight on only one leg this gait is not suitable. Four-point gait involves alternating weight-bearing on each leg. It provides a stable and slow gait pattern making it appropriate for a client who can bear weight on only one leg. Swing-through gait is more advanced and involves swinging both crutches and the affected leg forward together. This is typically used for clients with more strength and coordination. Three-point gait involves non-weight-bearing on one leg and requires the use of crutches or an assistive device on one side only. It is not suitable for a client who can bear weight on one leg.

Correct Answer: A

Rationale: Keeping the client's bed linens dry helps maintain the client's comfort and prevents chilling associated with damp linens. Applying an alcohol-water solution may increase evaporative cooling and is not a standard intervention for fever. Encouraging increased fluid intake is appropriate to promote hydration but the specific amount should be individualized based on the client's condition and needs. Applying ice packs to the groin is not a recommended site for cooling and may cause discomfort. The choice of cooling measures should be appropriate and based on the healthcare provider's orders or institutional protocols.

Correct Answer: B

Rationale: Palpating the abdomen may exacerbate pain or cause discomfort and it is not the first action in the assessment of a client with suspected appendicitis. Auscultating bowel sounds is a more appropriate initial step. Auscultating bowel sounds is the priority to assess for signs of bowel obstruction or ileus which can contribute to the client's symptoms. Offering pain medication can be addressed after the initial assessment and determination of the cause of the symptoms. Administering an antibiotic is premature before a diagnosis is confirmed. The priority is to assess and gather information first.

Correct Answer: A

Rationale: Surveying the target population is the best approach to identify the specific interests and health concerns of the older adults ensuring that the programs are relevant and tailored to their needs. Determining the availability of health care providers is a logistical consideration but may not necessarily address the specific interests or needs of the older adults. Basing the programs on their developmental stage is important but surveying the population allows for a more comprehensive understanding of their diverse needs and preferences. Reviewing Healthy People 2020 Objectives is a valuable resource but may not capture the specific interests or concerns of the local population.