Correct Answer: C

Rationale:
Choice A is wrong because it is not the most urgent question to ask the client. While it is important to assess the client's social relationships and possible peer rejection, this can be done after addressing the client's safety and mental status.
Choice B is wrong because it is not relevant to the client's current condition and might make the client feel defensive or stigmatized. The nurse should avoid asking questions that imply blame or judgment and focus on the client's strengths and coping skills. This is the priority question for the nurse to ask the client because it assesses the client's risk for suicide, which is a serious and potentially life-threatening complication of conduct disorder. The nurse should use a direct and nonjudgmental approach when asking about suicidal ideation and plan.
Choice D is wrong because it is not appropriate for the nurse to ask the client in an emergency department setting. This question might imply that the client is responsible for their conduct disorder, which is a complex and multifactorial mental health condition. The nurse should collaborate with the client and their family to develop a behavior management plan that involves positive reinforcement, limit setting, and consistent consequences.

Correct Answer: A

Rationale: The correct answer is choice A. Applying warm compresses to the incision site is anticipated for the client, as it can help reduce swelling and pain. The other choices are contraindicated for the following reasons:
Choice B: Maintaining bed rest for 2 days postoperatively is contraindicated, as it can increase the risk of complications such as deep vein thrombosis, pulmonary embolism, and pneumonia. The client should be encouraged to ambulate as soon as possible after surgery.
Choice C: Irrigating indwelling urinary catheter with 50 mL of normal saline is contraindicated, as it can introduce bacteria into the bladder and cause infection. The catheter should be kept patent and draining without irrigation unless there is a specific order from the provider.
Choice D: Administering enema to relieve constipation is contraindicated, as it can increase the pressure in the pelvic area and cause bleeding or damage to the surgical site. The client should be given stool softeners and laxatives to prevent constipation.
Choice E: Placing a blanket roll under the client's knees while in bed is contraindicated, as it can impair blood circulation and cause thrombophlebitis. The client should avoid flexing the knees excessively and elevate the legs slightly when lying down.

Correct Answer: A

Rationale: Monitoring blood pressure regularly is essential, as epoetin alfa, used to treat anemia in chronic kidney disease, can cause hypertension as a side effect, requiring close monitoring and potential antihypertensive therapy.
Choice B is wrong because epoetin alfa is administered by injection (subcutaneous or intravenous), not orally, so it is not taken with meals.
Choice C is wrong because epoetin alfa stimulates red blood cell production but does not directly increase urine output, which is typically reduced in chronic kidney disease.
Choice D is wrong because epoetin alfa should be stored in the refrigerator (2-8°C or 36-46°F), not at room temperature, to maintain stability.

Correct Answer: A

Rationale: Avoiding driving is critical while taking lorazepam, a benzodiazepine, as it causes drowsiness and impairs coordination, increasing the risk of accidents.
Choice B is incorrect because lorazepam can be taken with or without food; a high-protein meal is not necessary.
Choice C is incorrect because lorazepam causes sedation, not increased energy.
Choice D is incorrect because lorazepam should not be discontinued abruptly, as this can cause withdrawal symptoms or rebound anxiety; it requires gradual tapering under provider guidance.

Correct Answer: C

Rationale: Monitoring for dizziness or drowsiness is important with buspirone, a non-benzodiazepine anxiolytic, as these are common side effects that may affect safety or require dose adjustment.
Choice A is incorrect because buspirone is taken regularly (2-3 times daily), not as needed, to achieve steady-state anxiety control.
Choice B is incorrect because buspirone takes 2-4 weeks to provide significant anxiety relief, not immediate relief.
Choice D is incorrect because buspirone should not be discontinued abruptly, even if symptoms resolve, to avoid withdrawal or relapse; it requires provider guidance.