A new mother is concerned about her ability to perform her new role. She is quite anxious about leaving the hospital. Which nursing statement is appropriate for a client experiencing a life-transition crisis?
A) "I sense that you have issues with your own mother."
B) "All new parents feel this way. It gets better in a few weeks."
C) "What does this life change symbolize to you?"
D) "Tell me about what you are experiencing and we can try to connect you with some community resources."
D
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A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive Homans sign and asks what it means. The nurse's best response is
a. "You have pitting edema in your ankles." b. "You have deep tendon reflexes rated 2+." c. "You have calf pain when the nurse flexes your foot." d. "You have a ‘fleshy' odor to your vaginal drainage."
An HIV-positive client is taking lopinavir/ritonavir (Kaletra) and reports nausea, abdominal pain, and diarrhea. What orders does the nurse anticipate?
a. Renal function studies b. Liver enzymes c. Blood glucose monitoring d. Albumin and prealbumin
The nurse cares for an adolescent patient who is dying. The patient's parents are interested in organ donation and ask the nurse how the decision about brain death is made. Which response by the nurse is most appropriate?
a. "Brain death occurs if a person is flaccid and unresponsive." b. "If CPR is ineffective in restoring a heartbeat, the brain cannot function." c. "Brain death has occurred if there is no breathing and certain reflexes are absent." d. "If respiratory efforts cease and no apical pulse is audible, brain death is present."
A nurse is preparing to auscultate for the presence of bowel sounds in a client who has just undergone surgery. The nurse places the stethoscope in which abdominal quadrant first?
A. Left upper quadrant B. Left lower quadrant C. Right upper quadrant D. Right lower quadrant