A newly licensed nurse is preparing to provide postmortem care for the first time and asks for help. How should the assisting nurse respond to this request?
1. "It's just a dead body, it can't hurt you."
2. "The families typically don't care about the body once the person is dead."
3. "You can delegate this to the nursing assistant. Tell her to clean the body up when she is finished with her other work."
4. "It is an important part of care; we need to show the family that the person was valued and respected. I can understand that you are nervous."
4
Rationale: The assisting nurse should not make an insensitive comment such as the body cannot hurt the other nurse. This does not demonstrate respect for the recently deceased patient.
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The nurse is giving a group of adolescents a lecture on sex education. After the lecture, one adolescent asks the nurse for advice regarding being pressured by a boyfriend to have sex. Which response by the nurse is most appropriate?
1. "It's okay to have sex with your boyfriend if you love him." 2. "If all your friends are doing it, go ahead and follow your friends." 3. "Continue with your plan of not having sex right now." 4. "I can provide you with condoms if you need some."
A 31-year-old woman with a congenital heart defect reports episodes of light-headedness and syncope, with occasional palpitations
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The nurse is caring for an alcoholic who is being treated for hypomagnesemia. When planning care, what should the nurse identify as a priority intervention for this client?
1. Frequent bathing 2. Oral care three times a day 3. Ambulation four times a day 4. Safety interventions
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1. the tradition of restricting the laboring woman to clear liquids and ice chips is being challenged because regional anesthesia is used more often than general. 2. IV fluids are usually necessary to make sure the laboring woman stays hydrated. 3. routine use of an enema empties the rectum and is very helpful in producing a clean, clear delivery. 4. when a nulliparous woman experiences the urge to defecate, it often means birth will follow quickly.