Correct Answer: C

Rationale: Reporting weight gain is important with fluoxetine, as it can affect weight. It's taken in the morning, tyramine is unrelated, and relief takes weeks.

Correct Answer: C

Rationale:
Choice A is wrong because it is not a typical symptom of bacterial pneumonia. Drooling can be caused by other conditions, such as sore throat, dental problems, or neurological disorders.
Choice B is wrong because it is not a symptom of bacterial pneumonia either. Tinnitus is a ringing or buzzing sound in the ears that can be caused by exposure to loud noise, ear infections, or other ear problems. Malaise is a general feeling of discomfort, weakness, or illness that can be a sign of infection. According to the health search result from Focus Medica, bacterial pneumonia is an infection of the air sacs in one or both lungs that causes symptoms such as cough with phlegm, fever, chills, and difficulty breathing. Malaise is one of the symptoms that may follow these signs of infection.
Choice D is wrong because it is not specific to bacterial pneumonia. Rhinorrhea is a runny nose that can be caused by many factors, such as allergies, colds, or sinus infections. Rhinorrhea can sometimes occur with viral pneumonia, but not usually with bacterial pneumonia.

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: 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: A

Rationale: Lochia serosa (pinkish-brown discharge) on day 1 postpartum is abnormal and should be reported, as lochia is typically rubra (bright red) for the first 3-4 days; serosa usually appears around day 4-10, and early serosa may indicate retained placental fragments or infection.
Choice B is wrong because a firm fundus 2 cm below the umbilicus is a normal finding, indicating appropriate uterine involution.
Choice C is wrong because mild perineal discomfort during ambulation is expected, especially after a vaginal delivery, and does not require immediate reporting unless severe or accompanied by other symptoms.
Choice D is wrong because breast tenderness when breastfeeding is common in the early days as milk comes in and does not typically require reporting unless severe or associated with signs of mastitis.