When caring for a couple shortly after the birth of their first child, the nurse becomes aware the couple is agitated. Which of the following comments reflects the nurse's best response?
1. "Don't worry. Both you and the baby are doing well."
2. "Are you in pain?"
3. "This can be a very emotional time for new parents. What are you feeling?"
4. "What seems to be the problem?"
3
Rationale: While the nurse senses the client's agitation, the cause is unknown. Acknowledging that this is an emotional time and asking the parents to define their feelings will help the nurse determine the cause of the agitation and create a plan of care to reduce concern. Telling them not to worry minimizing their feelings, asking if they are in pain assumes a cause of the agitation, and asking what the problem is will likely result in a defensive comment.
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The nurse is teaching a community program on potential poisons in the home
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a. head of the bed elevated 45 degrees b. prone c. supine with feet raised d. supine with the head lower than the trunk
In assessing a client with lymphedema after a mastectomy, the nurse expects to find:
a. Fragile, thin, pale skin covering the area of lymphedema. b. Several brownish-red discolorations in the center of the affected arm. c. Unilateral non-pitting edema of the affected arm. d. Pitting edema of affected arm.