A new mother is found holding the baby at arm's length, avoiding eye contact, and requesting the baby be kept in the nursery throughout the day
When the nurse explores the mother's feelings for the newborn, the mother states, "I'm so disappointed that it's a boy. I really wanted a girl. I already have two boys at home, and the last thing I needed was another one." The priority action for the nurse is to: A) provide the mother with the name of a good nanny service. B) notify the authorities that the newborn probably will be the victim of child abuse. C) ask the mother how old her other boys are. D) tell the nurse supervisor, who will make a referral to a family counselor.
D
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During the admission interview, when asked about pain, the patient responds, "No. I'm pretty wobbly." Which action by the nurse would be most appropriate?
a. Ask, "Did you hear me? I asked you about pain." b. Say, "What do you mean ‘wobbly'?" c. Record the patient denied pain. d. Record the patient stated he was wobbly.
A nurse is performing an assessment of the carotid arteries of a client with atherosclerosis. On auscultation of the right carotid artery, a swishing sound is heard. What would be the nurse's best action?
A. Perform carotid massage. B. Notify the health care provider. C. No action is necessary because this is a normal finding. D. Simultaneously palpate the carotid arteries bilaterally.
The nurse instructs a client taking oral combination contraceptives to have periodic serum liver function studies done and to report symptoms of liver dysfunction, including:
Standard Text: Select all that apply. 1. abdominal pain. 2. yellowing of the skin. 3. clay-colored stools. 4. darkened urine. 5. constipation.
An individual asks the nurse to explain yoga. Which of the following statements would be made by the nurse?
a. Yoga requires the ability to assume and maintain certain poses. b. There are many different types of yoga. c. Yoga is the most strenuous of the movement therapies. d. The major benefit of yoga is an increase in physical exercise and flexibility.