You are giving cord care. Which of the following should you report to the nurse?
a. A dry cord
b. A cord that is smooth to the touch
c. Bleeding from the cord
d. A cord that is cool to the touch
C
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An adolescent is examined and told that she has a sexually transmitted disease (STI). The patient is shocked and states,
"How can that be. I would know if I had a problem down there wouldn't I?" What is the most appropriate response by the nurse? a. "You should have known. It's pretty hard to miss." b. "Usually STIs show up within 2 to 3 days of exposure." c. "If you'd like, we can teach you some self-examination techniques." d. "It's just bad luck. We'll clear this up and that will be the end of it."
A nurse is caring for four clients who are receiving clozapine, lithium, fluoxetine, and venlafaxine,
respectively. In which client should the nurse be most alert for alterations in cardiac or cerebral electrical conductivity and fluid and electrolyte imbalance? a. The client receiving lithium (Lithobid) b. The client receiving clozapine (Clozaril) c. The client receiving fluoxetine (Prozac) d. The client receiving venlafaxine (Effexor)
A client of Hispanic descent has just delivered her fourth child, and avoids cold beverages and foods because she believes she must eat hot or warm foods and beverages and not allow herself to chill
Which health belief view is this client demonstrating? 1. Biomedical 2. Holistic 3. Magico-religious 4. Folk medicine
When risk factors to potential suicide have been identified, a nurse must further assess the actual risk for a suicide attempt
Which of the following questions would be appropriate for initial assessment to determine the presence or absence of suicidal thoughts in an older adult with risk factors? A) "Under what circumstances would you take your life? Have you ever started to act on a plan to harm yourself?" B) "Do you have a plan for taking your life? What action would you take if you were to harm yourself?" C) "Does your life feel worthless? Do you ever think about escaping from your problems?" D) "Do you think about harming yourself? Do you ever think about committing suicide?"