Health Promotion and Maintenance

A client with asthma has been prescribed fluticasone, one puff every 12 hours per inhaler. Place in correct order the nurse's statements when teaching the client how to properly use the inhaler with a spacer. 1. take off the cap and shake the inhaler 2. hold your breath for at least 10 seconds, then breath in and out slowly 3. press down on the inhaler once and breathe in slowly 4. attach the spacer 5. rinse your mouth 6. breathe out all of your air. hold the mouthpiece of your inhaler and space between your teeth with your lips closed around it

1. take off the cap and shake the inhaler 4. attach the spacer 6. breathe out all of your air. hold the mouthpiece of your inhaler and space between your teeth with your lips closed around it 3. press down on the inhaler once and breathe in slowly 2. hold your breath for at least 10 seconds, then breath in and out slowly 5. rinse your mouth

The nurse is instructing a client who follows Hindu dietary guidelines to increase protein in the diet. Which foods are appropriate to include in this client's diet? Select all that apply. A. lentil soup B. broiled fish sandwich C. veal cutlet D. steak E. hamburger

A. Lentil soup B. broiled fish sandwich

While caring for a mother and her 1-day-old neonate born vaginally at 30 weeks' gestation, the nurse explains about the neonate's need for gavage feeding at this time instead of the mother's plan for bottle feeding. What should the nurse include as the rationale for this feeding plan? A. The neonate has difficulty coordinating sucking, swallowing, and breathing. B. This type of feeding, easily given in the isolette, decreases the neonate's risk of cold stress. C. A high-calorie formula, presently needed at this time, is more easily delivered via gavage. D. Gavage feedings can minimize the neonate's increased risk of developing hypoglycemia.

A. The neonate has difficulty coordinating sucking, swallowing, and breathing.

The nurse in the emergency department is caring for a preschool-age child with a fractured humerus. The child is crying and screaming, "I hate you!" Which action would be most appropriate? A. reassure the parents that this is a normal behavior under the circumstances B. ask the parents to discipline the child so that the physician can treat her C. tell the parents they will need to wait out in the lobby D. ask the charge nurse to assign this client to another nurse

A. reassure the parents that this is a normal behavior under the circumstances

A nurse is planning a health teaching session for a group of parents with toddlers. When describing a toddler's typical eating pattern, the nurse should mention that many children of this age exhibit: A. a preference for eating alone B. an increased appetite C. consistent table manners D. strong food preferences

D. strong food preferences

A nurse is providing care for a pregnant 16-year-old client. The client says that she is concerned she may gain too much weight and wants to start dieting. What information will the nurse provide the client as most accurate about nutrition and pregnancy? A. "Good nutrition supports the changes in your body and fetal growth and development." B. "Dieting will increase your risk for premature labor and a baby with low birth weight." C. "A woman of your starting weight should gain about 45 pounds during the pregnancy." D. "Calories should be increased so your baby can develop to a healthy weight."

A. "Good nutrition supports the changes in your body and fetal growth and development."

The nurse should explain that the most common cause for the unhappiness some children experience when first entering school is due to which factor? A. feelings of insecurity B. poor language development C. emotional maladjustment D. social isolation

A. feelings of insecurity

The nurse is teaching a pregnant client about injury prevention. Which instruction should the nurse include? A. "Start going to the gym every day to improve your balance." B. "Wear your seat belt across your abdomen." C. "Change your shoes from high heels to flats." D. "Take three 20-minute breaks during the workday."

C. "Change your shoes from high heels to flats."

Assessment of a primigravid client in active labor who has had no analgesia or anesthesia reveals complete cervical effacement, dilation of 8 cm, and the fetus at 0 station. The nurse should expect the client to exhibit which behavior during this phase of labor? A. numbness of the legs B. feelings of relief C. excitement D. loss of control

D. loss of control

To prevent recurrence of cystitis, the nurse should plan to encourage the female client to include which measure in her daily routine? A. douching regularly with 0.25% acetic acid B. using vaginal sprays C. increasing citrus juice intake D. wearing cotton underpants

D. wearing cotton underpants

When instilling ear drops on a 2-year-old child, the nurse should pull the pinna in which directions? A. up and forward B. up and back C. down and slightly forward D. down and back

D. down and back

A client was found wandering in a local park, unable to state who or where the client is or where the client lives. The client is brought to the emergency department, where an identification is eventually made. The client's spouse states that client was diagnosed with Alzheimer's disease 3 years earlier and has experienced increasing memory loss. The spouse reports worry about how to continue to care for the client. Which response by the nurse is most helpful? A. "because of the nature of your spouse's disease, you should start looking into nursing homes for your husband" B. "you may benefit from a support group called mates of alzheimer's disease clients" C. "what aspect of caring for your spouse is causing you the greatest concern" D. "do you have any children or friends who could give you a break from your spouse's care every now and then"

C. "what aspect of caring for your spouse is causing you the greatest concern"

A neonate born by elective cesarean birth weighs 7 lb, 3 oz (3,267 g). The nurse closely monitors for which assessment finding related to a complication from this type of birth? A. fluctuating body temperature B. peripheral and circumoral cyanosis C. respiratory distress D. fluctuating blood glucose results

C. respiratory distress

A preschool-age child refuses to take ordered medication. Which nursing strategy is most appropriate? A. explaining the medication's effects in detail to ensure cooperation B. mixing the medication in milk so the child isn't aware that it's there C. making the child feel ashamed for not cooperating D. showing trust in the child's ability to cooperate even with an unpleasant procedure

D. showing trust in the child's ability to cooperate even with an unpleasant procedure

A client with rheumatoid arthritis tells the nurse that she feels "quite alone" in adjusting to changes in her lifestyle. Which response by the nurse will be most effective? A. recommending that the client discuss her feelings with her religious advisor B. suggesting that the client develop a hobby to occupy her time. C. referring the client and her husband for counseling to decrease her sense of isolation. D. telling the client about her community's arthritis support group.

D. telling the client about her community's arthritis support group.

What is the most important reason for a nurse to encourage a client with peripheral vascular disease to initiate a walking program? A. Walking reduces stress B. walking aids in weight reduction C. walking increases high-density lipoprotein (HDL) level D. walking decreases venous congestion

D. walking decreases venous congestion

The nurse establishes the goal of preventing the development of a stress ulcer in a burn client. Which would most likely contribute to the achievement of this goal? A. administering a sedative as needed B. implementing relaxation exercises C. providing a soft, bland diet D. administering famotidine as ordered

D. administering famotidine as ordered

Which factors are major components of a client's general background history? A. bowel habits and allergies B. urine output and allergies C. gastric reflex and the client's age D. allergies and socioeconomic status

D. allergies and socioeconomic status

The nurse is discharging a client at 35 weeks' gestation after a reactive nonstress test. The client asks the nurse how the fetus is doing. What is the nurse's best response? A. "The fetal heart rate went up twice during the test, so your fetus is doing well." B. "It is too early to tell, we will need to repeat the test in 2 weeks." C. "I'm sorry, your provider will have to inform you of the results of the test." D. "The fetal heart rate dropped during the contractions, so we may need to induce you."

A. "The fetal heart rate went up twice during the test, so your fetus is doing well."

The parent of a 4-year-old expresses concern that the child may be hyperactive. The parent describes the child as always in motion, constantly dropping and spilling things. Which action would be appropriate at this time? A. Explain that this is not unusual behavior. B. Suggest that the child be seen by a pediatric neurologist. C. Determine whether there have been any changes at home. D. Explore the possibility that the child is being abused.

A. Explain that this is not unusual behavior.

A client doesn't make eye contact with the nurse during an interview. The nurse suspects that the client's behavior has a cultural basis. What should the nurse do first? A. Observe how the client and the client's family and friends interact with one another and with other staff members. B. Read several articles about the client's culture. C. Ask staff members of a similar culture about the client's behavior. D. Accept the client's behavior because it's probably culturally based.

A. Observe how the client and the client's family and friends interact with one another and with other staff members.

A new diabetic client meets all the criteria to be discharged, but expresses anxiety about being able to manage treatment. What is the best action for the nurse to take? Select all that apply. A. Reinforce the client's follow-up appointments. B. Suggest the client request a prescription for anxiety. C. Review diabetic teaching with the client. D. Inform the physician to postpone discharge. E. Remind the client of self-care in the hospital.

A. Reinforce the client's follow-up appointments. C. Review diabetic teaching with the client. E. Remind the client of self-care in the hospital.

The nurse is caring for a client about to receive the first chemotherapy transfusion. When planning how to conduct the teaching session, what action would assist the nurse in determining the client's learning preferences? A. asking the client which is preferred--brochure, video, or podcast B. asking the client if he or she literate and/or health literate C. asking the client about education level and whether he or she likes to read D. asking the client to read a medical brochure

A. asking the client which is preferred--brochure, video, or podcast

According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage? A. industry versus inferiority B. initiative versus guilt C. identity versus role confusion D. trust versus mistrust

A. industry versus inferiority

The nurse explains to a newly admitted primigravid client in active labor that, according to the gate-control theory of pain, a closed gate means that the client should experience what type of pain? A. no pain B. sharp pain C. moderate pain D. light pain

A. no pain

A client is concerned that her 2-day-old, breast-feeding neonate isn't getting enough to eat. The nurse should teach the client that breast-feeding is effective if: A. the neonate latches onto the areola and swallows audibly. B. the neonate voids once or twice every 24 hours. C. the neonate loses 10% to 15% of the birth weight within the first 2 days after birth. D. the neonate breast-feeds four times in 24 hours.

A. the neonate latches onto the areola and swallows audibly.

A public health nurse is teaching a group of parents at a community health center about feeding and nutrition for toddlers. Which information is most important for the nurse to include in the teaching? A. toddlers often eat one food for many days in a row B. children should be able to choose what to eat and when they want to eat it C. its ok to use dessert as a reward for good eating habits D. the amount eaten per meal is more important than the amount eaten each day

A. toddlers often eat one food for many days in a row

After instructing a primigravid client about desired weight gain during pregnancy, the nurse determines that the teaching has been successful when the client states which statement? A. "A weight gain of about 12 lb (5.5 kg) every trimester is recommended." B. "Although it varies, a gain of 25 to 35 lb (11.4 to 14.5 kg) is about average." C. A total weight gain of approximately 20 lb (9 kg) is recommended." D. "A weight gain of 6.6 lb (3 kg) in the second and third trimesters is considered normal."

B. "Although it varies, a gain of 25 to 35 lb (11.4 to 14.5 kg) is about average."

A client has sought care because she has recently returned from a trip to Central and South America and is concerned that she might have contracted the Zika virus. What question should the nurse prioritize during the client interview? A. "How would you describe your overall level of health before you left?" B. "Is there any chance that you might be pregnant?" C. "Were you ever on a farm or ranch when you were on your trip?" D. "Were you vaccinated against the Zika virus before you left on your trip?"

B. "Is there any chance that you might be pregnant?"

During a preparation for parenting class, one of the participants asks the nurse, "How will I know if I am really in labor?" What should the nurse tell the participant about true labor contractions? A. "Walking around helps to decrease true contractions." B. "True labor contractions are felt first in the lower back, then the abdomen." C. "True labor contractions may disappear with rest or sleep." D. "The duration and frequency of true labor contractions remain the same."

B. "True labor contractions are felt first in the lower back, then the abdomen."

A primigravid client at 16 weeks' gestation visits the clinic for a routine examination. The client tells the nurse that she knows someone whose baby was born with congenital toxoplasmosis. What should the nurse instruct the client to do to prevent transmission of the toxoplasmosis protozoan? A. Consider a course of prophylactic penicillin as prevention. B. Cook all meats, such as beef and pork, thoroughly. C. Plan to be vaccinated for this condition at the next visit. D. Avoid contact with anyone diagnosed with this disease.

B. Cook all meats, such as beef and pork, thoroughly.

Which component of a client's medical record is the major source of subjective data about the client's health status? A. Physical findings B. Health history C. Radiological findings D. Laboratory test results

B. Health history

The nurse discusses with the parents how best to raise the IQ of their child with Down syndrome. Which intervention would be most appropriate? A. Let the child play with more able children. B. Provide stimulating, nonthreatening life experiences. C. Give vasodilator medications as prescribed. D. Serve hearty, nutritious meals.

B. Provide stimulating, nonthreatening life experiences.

A nurse determines that a client has 20/40 vision. Which action by the nurse is most appropriate? A. Educate the client about ways to maintain normal vision. B. Refer the client to a healthcare provider for possible corrective lenses. C. Tell the client that corrective lenses will be required for driving. D. Encourage the client to purchase corrective lenses for reading.

B. Refer the client to a healthcare provider for possible corrective lenses.

The nurse is caring for a postpartum client with an episiotomy. The nurse assesses the client closely for what complication that the client is at greatest risk of developing? A. urinary incontinence B. infection C. blood loss D. dyspareunia

B. infection

The correct procedure for auscultating the client's abdomen for bowel sounds is to: A. place the client on the left side to aid auscultation. B. listen for 5 minutes in all four quadrants to confirm absence of bowel sounds. C. encourage the client to cough to stimulate movement of fluid and air through the abdomen. D. palpate the abdomen first to determine correct stethoscope placement.

B. listen for 5 minutes in all four quadrants to confirm absence of bowel sounds.

Sick and preterm neonates who experience continuity of nursing care directly benefit from A. higher levels of parent satisfaction with nursing care. B. nursing recognition of subtle changes in high-risk neonates' conditions. C. decreased hospital liability for professional malpractice. D. higher levels of professional satisfaction among nurses.

B. nursing recognition of subtle changes in high-risk neonates' conditions.

A nurse has attended an in-service workshop to address the phenomenon of ageism in the healthcare system. Which practice is indicative of ageism? A. implementing falls prevention measures in a setting where older adults receive care B. speaking to older adults in a way one would with clients who have mild cognitive deficits C. providing slightly smaller servings of food for clients who are elderly D. assessing the skin turgor of older adults differently than for younger adults

B. speaking to older adults in a way one would with clients who have mild cognitive deficits

A nurse colleague states, "I don't believe in the influenza vaccination for myself or my children." What is the best response by the nurse? A. "very young children or older adults should be prioritized to get the flu shot" B. "you can be reported to management for not being up-to-date on your vaccinations" C. " research suggests that vaccinations are helpful to prevent the spread of influenza" D. "flu vaccines are only effective for certain strains of flu and do not protect from all strains"

C. " research suggests that vaccinations are helpful to prevent the spread of influenza"

The nurse is teaching a group of parents about the risk of airway obstruction in young children. What information is most appropriate for the nurse to share regarding the risk of airway obstruction? A."After the child starts school the risk for the child getting an obstruction decreases." B. "Sleeping with a blanket is safe for the child after the child can roll over on one's own." C. "A small airway makes it easier for foreign objects to cause obstruction." D. "A flat diaphragm makes it easier to expel objects obstructing the airway."

C. "A small airway makes it easier for foreign objects to cause obstruction."

After discussing preconception needs with a nulliparous client who eats a primarily Asian diet, which client statement indicates the need for further instruction? A. "I should continue to steam my vegetables rather than cooking them for a long time." B. "Eating soy products can increase my protein levels once I am pregnant." C. "If I become pregnant, I can continue to eat sushi twice a week." D. "I should take folic acid supplements before I get pregnant."

C. "If I become pregnant, I can continue to eat sushi twice a week."

A client with allergic rhinitis asks the nurse what to do to decrease rhinorrhea. Which instruction would be appropriate for the nurse to give the client? A. "Ask the health care provider for antibiotics. Antibiotics will help decrease the secretion." B. "Use your nasal decongestant spray regularly to help clear your nasal passages." C. "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks." D. "It is important to increase your activity. A daily brisk walk will help promote drainage."

C. "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks."

A 39-year-old multigravid client asks the nurse for information about female sterilization with a tubal ligation. Which client statement indicates effective teaching? A. "Both of my ovaries will be removed during the tubal ligation procedure." B. "After this procedure, I must abstain from intercourse for at least 3 weeks." C. "My fallopian tubes will be tied off through a small abdominal incision." D. "Reversal of a tubal ligation is easily done, with a pregnancy success rate of 80%."

C. "My fallopian tubes will be tied off through a small abdominal incision."

A client is a gravida 2 para 1 and is currently 12 weeks gestation. She states that she drank beer throughout her last pregnancy. The client asks the nurse if it is okay to have a few drinks during this current pregnancy. Which response by the nurse would be most appropriate? A. "it is safer to consume wine than beer during pregnancy" B. "it is safe to consume 5 ounces or less of alcohol per week in the first trimester" C. "it is not safe to consume alcohol during pregnancy" D. "it is not safe to consume alcohol in the second and third trimesters but the first is safe if consumed in moderation"

C. "it is not safe to consume alcohol during pregnancy"

The mother says that the infant's primary care provider recommends certain foods, but the infant refuses to eat them after breastfeeding. How should the nurse suggest that the mother alter the feeding plan? A. Offer dessert followed by some vegetables and meat. B. Mix pureed food with some breast milk in a bottle with a large-holed nipple. C. Allow the infant to nurse for a few minutes and then offering solid foods. D. Offer breast milk as long as the infant refuses to eat solid foods.

C. Allow the infant to nurse for a few minutes and then offering solid foods.

When assessing a 2-month-old infant, the nurse feels a "click" when abducting the infant's left hip. What should the nurse do next? A. Document the finding as normal for a 2-month-old. B. Reschedule the child for a follow-up assessment in 3 weeks. C. Check the lengths of the femurs to determine if they are equal. D. Instruct the mother to keep the leg in an adducted position.

C. Check the lengths of the femurs to determine if they are equal.

A nurse is teaching a client about withdrawal from the excessive use of caffeine. What will the nurse include in the teaching? Select all that apply. A. Try to stop the caffeine all at once to lessen the withdrawal symptoms. B. The only problem will be drowsiness. C. One of the first symptoms of withdrawal will be a headache. D. Drink fluids to help with the withdrawal. E. Nausea and muscle pain may occur with withdrawal.

C. One of the first symptoms of withdrawal will be a headache. D. Drink fluids to help with the withdrawal. E. Nausea and muscle pain may occur with withdrawal.

To help promote independence in the area of feeding for a school-aged child in skeletal traction, the nurse should help the child choose which meal? A. spaghetti and meat sauce, cherry cobbler, and apple juice in a can B. chicken noodle soup with crackers, grilled cheese sandwich, coleslaw, and chocolate milk in a carton C. chicken nuggets with sauce, carrot sticks, apple slices, ice cream sandwich, and milk in a carton D. carrot sticks, celery with cream cheese, roast beef and gravy, peas, gelatin, and milk in a cup

C. chicken nuggets with sauce, carrot sticks, apple slices, ice cream sandwich, and milk in a carton

An 18-month-old child with acquired immunodeficiency syndrome is seen in the clinic for health maintenance. Which vaccines should the nurse anticipate administering to this toddler? Select all that apply. A. varicella B. measles, mumps, rubella (MMR) C. influenza vaccine D. diptheria-tetanus-acellular pertussis E. inactivated poliovirus vaccine

C. influenza vaccine D. diptheria-tetanus-acellular pertussis E. inactivated poliovirus vaccine

A nurse is assessing the growth and development of a 14-year-old boy. He reports that his 13-year-old sister is 2 inches (5 cm) taller than he is. What information should the nurse provide about growth spurts in adolescent boys compared to growth spurts in adolescent girls? A. they occur about 1 year earlier B. they occur about 2 years earlier C. they occur about 2 years later D. they occur about at the same time

C. they occur about 2 years later

Which finding is considered normal in the neonate during the first few days after birth? A. birth weight 4.5 to 5.5 lbs B. weight loss of 25% C. weight loss then return to birth weight D. weight gain of 25%

C. weight loss then return to birth weight

A nurse is caring for a 4-year-old child on complete bed rest. What would be a priority nursing diagnosis when caring for this child? A. sleep pattern disturbance related to routines of hospitalization B. risk of altered growth and development related to the effects of illness C. risk of altered nutrition (less than body requirements) related to lack of appetite D. diversionary activity deficit related to lack of appropriate toys and peers

D. diversionary activity deficit related to lack of appropriate toys and peers

Which findings are considered positive signs of pregnancy? A. abdominal enlargement and Braxton Hicks contractions B. fatigue and skin changes C. quickening and breast enlargement D. fetal heartbeat and fetal movement on palpation

D. fetal heartbeat and fetal movement on palpation

After instructing a pregnant client about third trimester edema, the nurse determines that the client needs further instruction when the client makes which statement? A. "I need to avoid standing in one place for too long." B. "I'll continue to drink six to eight glasses of water a day." C. "Swelling of my feet and ankles is normal." D. "Swelling in my hands and face is to be expected."

D. "Swelling in my hands and face is to be expected."

Parents report that their child, age 4, resists going to bed at night. After instruction by the nurse, which statement by the parents indicates effective teaching? A. "We'll lock the child in their room if the child gets up more than once." B. "We'll play running games before bedtime to tire the child out, and then the child will fall asleep easily." C. "We'll let the child fall asleep in our room, then move the child to their own room." D. "We'll read the child a story and let the child play quietly in bed until the child falls asleep."

D. "We'll read the child a story and let the child play quietly in bed until the child falls asleep."

A 20-year-old nulligravid client expresses a desire to learn more about the symptothermal method of family planning. Which information would the nurse include in the teaching plan? A. This method has a 50% failure rate during the first year of use. B. The male partner uses condoms for significant effectiveness. C. Couples must abstain from coitus for 5 days after the menses. D. Cervical mucus is carefully monitored for changes.

D. Cervical mucus is carefully monitored for changes.

The nurse is preparing information for a community health fair. Which information should the nurse include to promote healthy skin? A. Use a water termperature of 125oF (52oC) for bathing. B. Apply body lotion that contains a sun protection factor of 10. C. Limit sun exposure to 30 minutes in the afternoon. D. Drink an adequate amount of water.

D. Drink an adequate amount of water.

The nurse determines that a multigravid client in active labor is about to give birth. The nurse has no health care provider immediately available. After calling for assistance, what should the nurse do first? A. Ask the client to take a deep breath and hold it. B. Have the client push with a contraction. C. Lower the head of the bed to a flat position. D. Prepare an area to receive the neonate.

D. Prepare an area to receive the neonate.

Which nursing intervention is a priority for a pregnant adolescent during her first trimester? A. Assess the client for signs and symptoms of placenta previa. B. Tell the client that she will most likely need a cesarean birth due to the head size of the fetus. C. Schedule the client for a screening glucose tolerance test. D. Refer the client to a dietitian for nutritional counseling.

D. Refer the client to a dietitian for nutritional counseling.

A 29-week gestation client arrives in the labor and birth suite for an emergency cesarean section. The neonate is born and artificial surfactant is administered. Which action best explains the main function and goal of surfactant use? A. promotes mucous production lubricating the respiratory tract B. assists with ciliary body maturation in the upper airways eliminating mucous C. helps maintain a rhythmic breathing pattern reducing tachypnea D. helps lungs remain expanded after the initiation of breathing improving oxygenation

D. helps lungs remain expanded after the initiation of breathing improving oxygenation

A nurse is assessing whether a 6-year-old child has received all required immunizations. Which immunizations does the nurse expect to be documented? A. measles, mumps, and rubella (MMR); hepatitis A; and human papilloma virus (HPV) B. human papilloma virus vaccine (HPV); diphtheria, tetanus, and acellular pertussis (DTaP); and inactivated polio virus (IPV) C. diphtheria, tetanus, and acellular pertussis (DTaP); measles, mumps, and rubella (MMR); and inactivated polio virus (IPV) D. hepatitis A; measles, mumps, and rubella (MMR); and inactivated polio virus (IPV)

D. hepatitis A; measles, mumps, and rubella (MMR); and inactivated polio virus (IPV)

While a 31-year-old multigravida at 39 weeks' gestation in active labor is being admitted, her amniotic membranes rupture spontaneously. The client's cervix is 5 cm dilated, the presenting part is at 0 station, and the electronic fetal heart rate pattern is reassuring. What should the nurse do first? A. perform a vaginal examination to determine dilation B. auscultate the client's blood pressure C. prepare the client for imminent birth D. not the color, amount, and odor of the amniotic fluid

D. not the color, amount, and odor of the amniotic fluid

Before discharge from the hospital after a myocardial infarction, a client is taught to exercise by gradually increasing the distance walked. Which vital sign should the nurse teach the client to monitor to determine whether to increase or decrease the exercise level? A. body temperature B. blood pressure C. respiratory rate D. pusle rate

D. pusle rate

A 10-year-old child proudly tells the nurse that brushing and flossing her teeth is her responsibility. How does the nurse interpret the statement? A. she is too young to be given this responsibility B. she should have assumed this responsibility much sooner C. she is probably just exaggerating the responsibility D. she is most likely capable of this responsibility

D. she is most likely capable of this responsibility