The client who delivered two hours ago tells the nurse that she is exhausted but feels guilty because her friends told her how euphoric they were after giving birth. How should the nurse respond to the client?
A. "Everyone is different and both responses are normal."
B. "Most mothers do feel euphoria; I don't know why you don't."
C. "It's good for me to know that because it might indicate a problem."
D. "Let me bring your baby to the nursery so that you can rest."
A
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A 55-year-old man comes to the health nurse at his place of work with epistaxis. He reports he has frequent nosebleeds that he can usually control himself. What would be the most helpful assessment after the nurse has stopped the bleeding?
a. Obtain a blood pressure b. Record the approximate amount of blood lost c. Inquire about a headache d. Record the last episode of epistaxis
Which of the following would be inconsistent as a diagnostic manifestation of Alzheimer's disease?
A) Neurofibrillary tangles B) Reduced brain activity C) Neuritic plaques in the brain D) Increased synaptic nerve transmission
The nurse at a community center is preparing a program for older retired people at risk for malnutrition who need community resources. Which is the best action for initiating the nurse's program?
1. Review individual's height, weight, and health history. 2. Teach low-cost menus and methods for a balanced diet. 3. Post flyers with instructions for obtaining free vitamins. 4. Provide telephone numbers of food banks and free meals.
Which of the following statements accurately describe a recommended guideline for implementation? Select all that apply
A) When implementing nursing care, remember to act independently, regardless of the wishes of the patient/family. B) Before implementing any nursing action, reassess the patient to determine whether the action is still needed. C) Assume that the nursing intervention selected is the best of all possible alternatives. D) Consult colleagues and the nursing and related literature to see if other approaches might be more successful. E) Reduce your repertoire of skilled nursing interventions to ensure a greater likelihood of success. F) Check to make sure that the nursing interventions selected are consistent with standards of care.