The nurse is completing the gestational age assessment on a newborn while in the mother's postpartum room. During the assessment, the mother asks the nurse what aspects of the baby are being checked during this assessment
Which response by the nurse is best? A. "I'm checking to make sure the baby has all of its parts."
B. "This looks both at physical aspects and the nervous system."
C. "This checks the baby's brain and nerve function."
D. "Don't worry. We perform this check on all of the babies."
B
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What should the nurse instruct an adolescent who asks about the best way to prevent vulvovaginitis?
A) Wipe from front to back after urinating or defecating. B) Apply personal hygiene sprays if vaginal odor develops. C) Soak in a strong bubble bath solution to maintain hygiene. D) Use nylon rather than cotton underpants to decrease moisture.
Which laboratory result in a client with cancer who has gained 2 pounds in 1 day suggests the possibility of SIADH?
A. Serum potassium of 5.2 mmol/L B. Serum sodium of 120 mmol/L C. Hematocrit of 40% D. BUN of 10 mg/dL
A client has been living in a shelter with her four children after escaping her abusive husband. The client's move-out date is getting closer. The client states, "I'm afraid to leave here. I'm afraid for my safety and the safety of my children"
Which is the most appropriate nursing response? A) "Let's work together to summarize what you've learned into a plan to keep you and your family safe." B) "It's the policy that clients can live here for only 30 days. It's unfortunate, but there's nothing I can do." C) "You've had a month to come up with a plan for keeping you and your family safe." D) "Your husband has probably moved on by now. That's how they all are."
The nurse is caring for a patient who refuses "AM care." When asked why, the patient tells the nurse that she always bathes in the evening. The nurse should
a. Defer the bath until evening and pass on the information to the next shift. b. Tell the patient that she must bathe because that is the "normal" routine. c. Explain to the patient the importance of maintaining morning hygiene practices. d. Cancel hygiene for the day and attempt again in the morning.