Correct Answer: B

Rationale: The nurse should notify the HCP next because the scenario likely requires medical intervention beyond the nurse's scope of practice. Communicating with the HCP ensures timely and appropriate medical management. Raising the head of the bed, obtaining an oximeter reading, and implementing seizure precautions are important actions, but notifying the HCP takes precedence in this situation. These actions can be taken after the HCP has been informed to ensure comprehensive care.

Correct Answer: D

Rationale: The correct answer is D: Feelings of isolation and depression. This is the priority adverse effect to report immediately because isotretinoin, a medication used to treat severe acne, is known to potentially cause severe psychiatric side effects, including depression and suicidal thoughts in some patients. It is crucial for the nurse to address any signs of depression promptly to prevent any harm to the client.

Incorrect choices:
A: Back pain - While back pain can be a side effect of isotretinoin, it is not typically considered an urgent issue that requires immediate reporting.
B: Frequent nosebleeds - Nosebleeds can occur as a common side effect of isotretinoin, but they are not considered life-threatening and can typically be managed with supportive care.
C: Itching of skin - Skin itching is a common side effect of isotretinoin and is not typically a priority to report immediately unless it is severe or accompanied by other concerning symptoms.

Correct Answer: B

Rationale: The correct answer is B: Absent bowel sounds. Absence of bowel sounds postoperatively may indicate paralytic ileus, a common complication after abdominal surgery. This suggests decreased gastrointestinal motility and potential risk for bowel obstruction if oral intake is resumed too soon. Continuing NPO status allows the bowel to rest and recover.

Choices A, C, and D are not indicators to continue NPO status. Passing flatus and increased abdominal girth indicate return of gastrointestinal function. Pain at the operative site can be managed with appropriate pain medication without necessitating NPO status.

Correct Answer: D

Rationale: The correct answer is D: Pain. In sickle cell crisis, vaso-occlusion leads to severe pain in bones, joints, and organs. The pain can be intense and debilitating, requiring prompt management. Constipation (
A), bradycardia (
C), and high fever (
B) are not typical findings in sickle cell crisis. Constipation is not a common symptom, bradycardia is not expected as the body responds to the crisis, and fever is usually low-grade or absent. Pain is the hallmark of sickle cell crisis due to ischemia from sickle-shaped red blood cells blocking blood flow.

Correct Answer: A,B,C,D,E,F

Rationale:
Correct
Answer: A, B, C, D, E, F


Rationale:
A: Avoid bubble baths - Bubble baths can irritate the urinary tract, worsening the infection.
B: Wipe perineal area front to back - Prevents the spread of bacteria from the anus to the urinary tract.
C: Complete the course of prescribed antibiotics - Essential to fully treat the infection and prevent recurrence.
D: Encourage frequent voiding - Helps flush out bacteria from the urinary tract.
E: Wear cotton underwear - Allows better airflow, reducing moisture and bacterial growth.
F: Encourage frequent fluids by mouth - Helps to flush out bacteria and maintain hydration, aiding in recovery.

Summary:
G: The option is left blank as it does not contribute to managing or preventing urinary tract infections in children.