What nursing intervention would be appropriate for the client who has just undergone a paracentesis?
A. Inserting a Foley catheter
B. Maintaining the client on bedrest
C. Monitoring vital signs every 2 hours
D. Securing the trocar catheter to the abdomen with tape
B
Following paracentesis, the client's vital signs are checked every 15 minutes and the client is maintained on bedrest until vital signs are stable.
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A young mother is seen in the clinic with her young children. It is May, and the family is planning to go to the beach for vacation. Which of the following aspects of patient teaching is most important?
A) "Try to stay indoors as much as possible." B) "Apply SPF 30 sunscreen to the children before sun exposure." C) "Be sure that each child wears a hat at the beach." D) "Apply Neosporin to any skin abrasions your children get."
A community health nurse is educating a group of adolescent clients regarding the prevention of date violence and rape. Which statement will the nurse include in teaching?
A) "Caucasian girls report dating violence more commonly than Hispanic or African American girls." B) "Girls who report dating violence are less likely to report other at-risk behaviors, such as using illegal substances." C) "Although previous violence in a teenage male is a problem, it is not associated with an increased risk of dating violence." D) "A decreased use of birth control is associated with an increased risk of dating violence and rape."
Which intervention may be most helpful for the patient experiencing most of her labor pain in her back?
a. Lying supine with head slightly elevated b. Having the support person apply firm pressure to the sacrum c. Sitting upright with the legs straight d. Having the nurse massage the upper back during a contraction
The school nurse is forking with a group of adolescent boys who are on a sports team in the school. A few of the boys have experienced early maturation (appearance of secondary sexual characteristics)
The nurse reads some studies about early maturation in adolescent boys and finds that most studies reveal that: a. adolescent boys usually have the same experience as adolescent girls with early maturation b. boys with early maturation often have a positive self-image, high status, and prestige in the peer group c. these adolescent boys have much more difficulty adjusting to their early maturation than adolescent females d. early maturing males are more likely to commit suicide than males who mature normally or late