How should the nurse define bonding to a group of pregnant patients attending prenatal classes?
A) A process of developing an attachment and becoming acquainted with each other
B) The skin-to-skin contact that occurs in the delivery room
C) An ongoing process in the year after delivery
D) Family growing closer together after the birth of a new baby
Ans: A
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A patient demonstrates an adequate understanding of fluid management associated with congestion secondary to her cardiomyopathy when she states:
A) "I will need to increase my fluids to 3 L/d to flush the fluids out of my system." B) "I will need to restrict my fluids to 2 L/d to decrease congestion." C) "I will need to restrict my fluids to 2 L/d to decrease the chances of developing a dysrhythmia." D) "I will need to restrict my fluids to 2 L/d and increase my salt intake."
A client is prescribed a drug therapy that helps alter the urine pH. Which of the following diets may be suggested in conjunction with the drug therapy that will help the client alter the urine pH?
A) A low-protein, high-carbohydrate diet B) A high-protein, low-carbohydrate diet C) An acid ash and a low-carbohydrate diet D) An acid ash or basic ash diet
The nurse is assessing the patellar reflex on a client and obtains no reflexive activity. The client is alert and oriented. The nurse should do which of the following in this situation?
1. Document the findings as normal. 2. Notify the healthcare provider immediately. 3. Look at the medication records for central nervous system depressants. 4. Retest the reflex after having the client use distraction during the exam.
The client sustained an injury to the chest in a motor vehicle crash. Which assessment finding 3 hours later alerts the nurse to a possible pulmonary contusion?
A. Dyspnea B. Hemoptysis C. Hyperresonance on percussion D. Increased chest pain with movement