Correct Answer: B

Rationale: Reporting unusual bleeding is critical with warfarin due to bleeding risk. Green leafy vegetables affect efficacy, antacids are unrelated, and weight gain is not expected.

Correct Answer: C

Rationale: Lorazepam, a benzodiazepine, is commonly administered during alcohol withdrawal to manage symptoms like tremors, seizures, and agitation by calming the central nervous system.
Choice A is incorrect because naltrexone is used for maintenance therapy to reduce alcohol cravings, not for acute withdrawal.
Choice B is incorrect because disulfiram is used to deter alcohol consumption, not to treat withdrawal symptoms.
Choice D is incorrect because acamprosate is used to maintain abstinence in alcohol use disorder, not for managing acute withdrawal.

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: D

Rationale: Elevating the affected arm on a pillow promotes lymphatic drainage, reduces swelling, and enhances comfort after a mastectomy, where lymph nodes may have been removed.
Choice A is incorrect because, while deep-breathing exercises are beneficial for lung expansion, they do not directly address post-mastectomy comfort related to the surgical site.
Choice B is incorrect because a supine position with the head flat may increase swelling and discomfort; a semi-Fowler's position is preferred.
Choice C is incorrect because a warm compress is not recommended, as it may increase swelling or risk infection; cold packs may be used if prescribed.

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.