The nurse is assisting a new client with learning how to care for her newborn. The nurse notes that the client is very fearful and reluctant to handle the newborn and notes that this is the client's first child
Which of the following nursing interventions will least likely assist in promoting mother-infant interaction and bonding? 1. Accepting the client's feelings
2. Acknowledging the client's apprehension
3. Leaving the infant with the client so that she will be required to provide the care
4. Assisting the client with giving the baths to allow her to become more at ease
3
Rationale: A client with no experience of handling infants may be fearful and reluctant to handle her newborn or to take on physical care on her own. Acceptance of her feelings and acknowl-edgment of the apprehension can help an unsure client begin to participate in caring for her newborn. Assistance will help the client become more at ease. Leaving the infant with the client so that she will be required to provide the care will produce additional apprehension.
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Wat will be an ideal response?
The nurse is caring for an older adult client who will be discharged after being hospitalized for a total hip replacement. Which statement indicates that arrangements may have to be made to have the client's medications supervised at home?
a. "I will take my Coumadin pill every day just before the evening news." b. "My wife takes iron too, so we will take our pills together every morning." c. "I prepare all my pills for the week and will place them in a labeled medi-set." d. "If my legs get swollen, I will take an ex-tra Coumadin pill that day."
A registered nurse (RN) is assigned as charge nurse for the first time. She knows to consult the State Board of Nursing to determine scope of practice for Licensed Practical Nurses (LPN) and Unlicensed Assistive Personnel (UAP)
She also realizes there are common policies which exist in most state practice acts that include: a. the RN is held accountable for the decision to delegate, but responsibility rests only with the delegatee. b. the RN may only delegate tasks that are not in the scope of practice of the LPN if the delegatee is certain they are competent to perform the task. c. since the LPN is licensed, they practice professional nursing. d. to determine what tasks can be safely delegated; the RN must first assess the patient.
A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Reflex tachycardia 2. Hyperkalemia 3. Dizziness 4. Hypertension 5. Hypotension