The nurse is instructing families about recognizing signs of dating violence in their teen-aged children.. The nurse concludes that the clients understand teaching regarding safe sexual practices when a parent states:
1. "We noticed our daughter seems very happy lately.".
2. "Our daughter has the odor of smoking about her.".
3. " Our son has a new girlfriend.".
4. "We taught our children about dating violence when they were 6-years-old.".
2. "Our daughter has the odor of smoking about her.".
Rationale:
When teaching parents to suspect unsafe sexual practices in teens, the nurse emphasizes that the children should be monitored for substance abuse as a new behavior. This does not necessarily mean there is dating violence, but it can be a sign if this is a new behavior. The daughter experiencing dating violence is more apt to show signs of depression and possible suicidal behavior. If a child has a new boyfriend or girlfriend, the parents are taught to meet the child's friends; it is not a sign of date violence for the child to have a new girlfriend. Six year olds are too young for a discussion regarding dating violence.
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The best reason for recommending formula over breastfeeding occurs when:
1. mothers have medical conditions or are taking drugs that could be passed along to the infant via breast milk. 2. mothers lack confidence in their ability to breastfeed. 3. other family members or care providers need to also feed the baby. 4. mothers see bottle-feeding as more convenient.
The nurse plans care for the client who has asthma and receives albuterol nebulizer therapy. The client's respiratory rate is 34 breaths per minute and breath sounds reveal wheezing throughout both lung fields
Which outcome is the nurse's priority for this client within 24 hours? 1. Client self-administers medication using the nebulizer. 2. Client correctly describes use of small-volume nebulizer. 3. Client recites side effects and clinical indicators to report. 4. Client's respiratory rate falls below 28 breaths per minute.