Correct Answer: B

Rationale: The correct answer is B. The nurse should inform the provider that the client has questions about the surgery. This response is appropriate as it ensures the client's concerns are addressed by the healthcare provider who has the necessary expertise to provide detailed information about the upcoming procedure. It promotes effective communication between the client and the healthcare team, leading to a better understanding of the treatment plan.


Choice A is incorrect as simply noting the client's lack of understanding in the medical record does not address the client's immediate need for clarification.
Choice C is incorrect as it suggests discussing alternative treatment options, which may not be relevant if the surgery has already been scheduled.
Choice D is incorrect because the nurse should not provide detailed information about the procedure without involving the healthcare provider, who is responsible for explaining the specifics of the surgery to the client.

Correct Answer: D

Rationale: The correct answer is D: Iron supplementation.
Toddlers often require iron supplementation as they are at risk for iron deficiency anemia due to rapid growth and dietary habits. The provider may prescribe this based on the child's medical record. Antibiotic therapy (
A) is not typically prescribed for a well-child checkup unless there is an active infection. Protective environment (
B) is a general concept for preventing infections and not a specific intervention for a toddler. Blood transfusion (
C) is a serious intervention usually reserved for severe cases of anemia, not typically indicated in a routine well-child checkup.

Correct Answer: C

Rationale: The correct answer is C: Give your son a little gift from his new sister. This strategy helps foster sibling bonding by creating a positive association between the siblings. It acknowledges the son's feelings and helps him feel included and special. It also promotes a sense of connection between the siblings from the beginning.

A: Plan for your son to meet his sister for the first time at home - This may be overwhelming for the son and doesn't address his concerns or help establish a positive relationship.
B: Give your son plenty of 'alone time' with his sister - While important for bonding, this doesn't directly address the son's concerns or help him feel more comfortable.
D: Hold your daughter when your son first meets her - This doesn't actively involve the son in the introduction and may not address his anxieties about the situation.

Correct Answer: C

Rationale: The correct answer is C: Hypotension. Dehydration leads to reduced blood volume, causing hypotension. This occurs due to decreased fluid levels in the body, resulting in lowered blood pressure. Bradycardia (
A) is less likely as the body compensates by increasing the heart rate. Edema (
B) is incorrect as dehydration causes fluid loss, leading to decreased tissue fluid. Crackles (
D) are associated with fluid in the lungs, which is not a common finding in dehydration.

Correct Answer: A

Rationale: The correct answer is A: Remind the AP about maintaining client confidentiality. The nurse should address the issue directly with the AP to reinforce the importance of maintaining client confidentiality. This action helps educate the AP on proper conduct and ensures compliance with privacy regulations.

Choices B, C, and D are incorrect because they do not address the immediate issue at hand and may escalate the situation unnecessarily. Notifying the client could breach confidentiality further, involving the ethics committee may be premature, and filing an incident report without addressing the behavior directly may not prevent future violations.