The nurse is explaining the purpose of negotiating a behavioral contract to an adolescent's parents. A primary reason for the contract is:

1. The contract is just between the client and nurse.
2. It is a legal document.
3. The terms cannot be changed once the contract is formed.
4. There is less room for misinterpretation.


4
Rationale: With most adolescents, a written contract is best since goals and expectations are less easily forgotten, the process seems more formal and "serious," and there is less room for misinterpretation and manipulation. The contract is between the client and the staff, not just the nurse, and is not a legal document.

Nursing

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A 1-year-old baby boy with renal dysplasia risks end-stage renal disease unless intervention occurs. Which of the following treatment options is his care team most likely to reject?

A) Dietary restriction plus erythropoietin B) Continuous cyclic peritoneal dialysis C) Renal transplantation D) Continuous ambulatory peritoneal dialysis

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A patient who has an indwelling catheter is being cared for in the home following a cerebrovascular accident. The nurse should instruct the patient and family on catheter care to prevent the development of:

A) Urosepsis B) Pulmonary edema C) Meningitis D) Cellulitis

Nursing

A client presents to the clinic with complaints that he began to itch and break out in hives after taking an aspirin this morning. What medication does the nurse anticipate administering that blocks histamine receptors?

A) Diphenhydramine (Benadryl) B) Flunisolide (Nasalide) C) Beclomethasone dipropionate (Beconase) D) Pseudoephedrine hydrochloride (Sudafed)

Nursing

A patient with an acute kidney injury is identified as being at risk for infection. Which nursing interventions are indicated?

1. Turn and reposition when necessary. 2. Avoid manipulation of venous access devices. 3. Post signs to remind visitors and staff to wash their hands. 4. Limit the use of antibiotic therapy. 5. Remove invasive devices as soon as medically possible.

Nursing