In caring for hypertensive clients, usually the most important emphasis in the nurse-client relationship is placed on:
a. getting significant others to be supportive.
b. explaining why the health care provider is the best person for follow-up care.
c. getting the individual to assume responsibility for self-care.
d. warning the client about drug side effects.
ANS: C
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A Incorrect: Although important, this is not the priority focus.
B Incorrect: Frequently the client is seen by the nurse for follow-up blood pressure monitoring.
C Correct: The is the priority focus.
D Incorrect: Although important, this is not the priority focus.
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ANS:
During the fourth stage of labor, the nurse's first priority when planning nursing interventions is to
a. initiate breastfeeding c. observe for urinary retention b. observe for signs of infection d. monitor for hemodynamic changes
The nurse is providing care for several pediatric clients. Which client would require an Individualized Health Plan (IHP) prior to returning to school?
1. A school-age client who has recently developed a penicillin allergy. 2. An adolescent client newly diagnosed with insulin-dependent diabetes mellitus. 3. A school-age client who has been treated for head lice. 4. An adolescent client who has missed two weeks of school due to mononucleosis.
A client who has been battered by her partner sobs, "It was my own fault." Which of the follow-ing would be the priority response by the nurse?
1. "No one has the right to abuse another." 2. "What did you do to deserve this?" 3. "Why do you think he does it?" 4. "Tell me about when you were growing up."