A postpartum patient is being evaluated for depression. Which manifestations would the nurse assess in this patient? (Select all that apply.)
A) Tearful
B) Confusion
C) Hyperactivity
D) Lack of motivation
E) Sadness and anxiety
Ans: A, D, E
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The prenatal client in her third trimester tells the clinic nurse that she works eight hours a day as a cashier and stands when at work. What response by the nurse is best?
1. "No problem. Your baby will be fine." 2. "Do you get regular breaks for eating?" 3. "Your risk of preterm labor is higher." 4. "Standing might increase ankle swelling."
A nurse uses Nightingale's theory of nursing to pattern care for patients. Which action by the nurse is most consistent with this theory?
A. Does for the patient what he or she is unable to do for self B. Focuses patient interactions on caring, healing, and wholeness C. Keeps patient's room clean and ensures good nutrition D. Incorporates culturally relevant actions in a caring encounter
The nurse reviews the use of cranberry juice to prevent urinary tract infections. What additional information should the nurse emphasize with this client?
a. Probiotic dietary supplements b. Eating yogurt daily if possible c. Adequate fluid intake and proper personal hygiene d. Integrating cranberry containing products into the diet
A nurse on the surgical floor has several clients who had surgery during the day. Which of the following actions can this nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Encouraging the use of the incentive spirometer b. Outlining drainage present on dressings c. Providing comfort measures d. Recording output from drains e. Taking vital signs