A client's family enters the room while the nurse is completing the admission assessment. A family is defined as:
a. two parents and children who live together.
b. blood-related relatives who live together.
c. people living together who are united by significant emotional bonds.
d. a nuclear family and their relatives.
ANS: C
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Why is it important for the nurse to understand the type of family that a client comes from? Select all that apply
1. Family structure can influence finances and the ability to purchase nutritious foods. 2. Many types of families exist, and it is important to address the persons who hold power within the family. 3. The nurse can anticipate which problems a client will experience based on the type of family the client has. 4. Understanding if the client's family is nuclear or blended will help the nurse teach the client the appropriate information. 5. The values of the family will be predictable if the nurse knows what type of family the client is a part of. Correct
The nurse receives an order to collect a midstream urine specimen from the client. Which task is not a nursing responsibility?
1. Teaching the client how to clean the genitals prior to collecting the specimen 2. Labeling the specimen and sending it to the lab 3. Assuring that the specimen is collected following sterile technique 4. Documenting that the specimen has been collected and what was done with it
A patient presents to labor and birth with complaints of persistent acute back pain at 36 weeks' gestation. The nursing assessment reveals a taught abdomen, fundal height at 40 cm, and late decelerations, with an FHR range of 124 to 128 bpm
The nurse will implement the protocol for which obstetric condition? a. Placenta previa b. Hypovolemic shock c. Abruptio placentae or abruption d. DIC
The gerontologic nurse wants to begin assessing concerns related to sexuality among the population of patients seen in the clinic. What action by the nurse is best?
a. Give the patients questionnaires to fill out. b. Get permission to discuss sexuality with them. c. Tell the patients you are now assessing sexuality. d. Ask the patients if they have concerns about sex.