Correct Answer: C

Rationale: Changing the pouch every 3 to 5 days ensures proper hygiene and prevents skin irritation or leakage, which is critical for colostomy care.
Choice A is incorrect because, while hydration is important, the nurse should emphasize 8-10 glasses of water daily to prevent dehydration, especially with an ileostomy or new colostomy.
Choice B is incorrect because a low-fiber diet is recommended for 4-6 weeks post-surgery, not just 2 weeks, to reduce stool bulk and ease digestion.
Choice D is incorrect because bright red output indicates bleeding, which is abnormal and should be reported; normal colostomy output is brown and formed or semi-formed.

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: B

Rationale: Checking the client's blood glucose level is the first action to take, as shakiness and sweating suggest hypoglycemia (blood glucose typically <70 mg/dL) in a client with type 1 diabetes, and the glucose level will guide treatment (e.g., administering 15 g of fast-acting carbohydrates).
Choice A is wrong because administering insulin would worsen hypoglycemia; insulin is used to lower blood glucose, not treat low levels.
Choice C is wrong because a high-protein snack is not appropriate for treating hypoglycemia; fast-acting carbohydrates (e.g., juice, glucose tabs) are needed first to rapidly raise blood glucose.
Choice D is wrong because encouraging rest does not address the urgent need to correct hypoglycemia, which can progress to confusion, seizures, or unconsciousness if untreated.

Correct Answer: A

Rationale: Recurrent, intrusive thoughts (obsessions) are a hallmark symptom of OCD, driving compulsive behaviors to alleviate anxiety caused by these thoughts.
Choice B is incorrect because euphoria is not associated with OCD; clients typically experience anxiety or distress.
Choice C is incorrect because OCD often causes insomnia due to anxiety or compulsive behaviors, not an increased need for sleep.
Choice D is incorrect because weight gain is not a primary feature; weight changes may occur secondary to medication or stress.

Correct Answer: B

Rationale: Monitoring for respiratory depression is critical with buprenorphine, a partial opioid agonist, as it can cause this serious side effect, especially if combined with other CNS depressants.
Choice A is incorrect because buprenorphine is taken regularly to prevent withdrawal and cravings, not only when symptoms occur.
Choice C is incorrect because weight gain is not a common side effect of buprenorphine; weight changes are more likely with other medications.
Choice D is incorrect because buprenorphine storage depends on the formulation (e.g., tablets, films), but specific storage instructions should be verified, and this is not the priority.