The LPN/LVN is preparing to perform a focused assessment by body system. Appropriate actions include: Standard Text: Select all that apply
1. Explaining the procedure.
2. Instructing clients to retain urine for the procedure.
3. Organizing the assessment so that several body areas can be assessed in one position.
4. Providing for privacy.
5. Preparing equipment.
1,3,4,5
Rationale: Explaining the procedure will decrease client anxiety and increase the client's ability to cooperate with the procedure.
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A mother delivered her baby at midnight and it is now 0900 . She wants to sleep and asks the nurse to take care of the baby. The nurse recognizes this is an example of:
a. fatigue from labor. b. normal "taking in" response. c. abnormal "taking in" response. d. risk for altered maternal-infant bonding.
A client is recovering from MTF sexual reassignment surgery. What health teaching should the population health nurse provide to this client as a part of health restoration strategies? (Select all that apply.)
1. Having routine PSA levels drawn. 2. Actions to prevent the development of a stroke. 3. Explaining the risk of heart disease from hormone therapy. 4. Importance of completing monthly breast self-examination. 5. Discussing mammography as prescribed by the healthcare provider.
Which intervention should make phototherapy most effective in reducing the indirect bilirubin in an affected newborn?
a. Turn the infant every 2 hours. b. Place eye patches on the newborn. c. Wrap the infant in triple blankets to prevent cold stress. d. Increase the oral intake of water between and before feedings.
What term means to have fixed false beliefs or opinions that are held despite a lack of supporting evidence?
a. Anxiety b. Delusion c. Psychosis d. Obsession