Which should be the nursing focus for a female client during the initial outbreak of genital herpes simplex?

a. Instruction in condom use
b. Promotion of comfort
c. Prevention of pregnancy
d. Institution of isolation


B
The initial outbreak of genital herpes simplex in a woman causes severe discomfort. Promotion of comfort is the first priority, because clients may not be receptive to instruction attempts until some degree of comfort has been achieved.

Nursing

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A patient has heart failure. His physician's orders include complete bed rest. The nurse knows that this order means he

a. is encouraged to rest as much as possible. b. is confined to bed but may assume responsibility for all of his personal care. c. is confined to bed but is allowed to go to the bathroom as needed. d. must remain as quiet as possible, with any task requiring physical effort done for him.

Nursing

The nurse is assessing a preterm newborn's fluid and hydration status. Which of the following would alert the nurse to possible overhydration?

A) Decreased urine output B) Tachypnea C) Bulging fontanels D) Elevated temperature

Nursing

A hospice client has had no contact with his daughter for 3 years. His son lives 6 hours away and their relationship is strained at best. The client belongs to no social groups and has been involved in church only minimally since his illness was discovere

The client will need assistance with self-care activities as well as support as his condition continues to decline. The nurse should A) contact the client's son and daughter and explain his condition and the need for them to assist with their father's care. B) refer the client to an extended care facility. C) brainstorm with the client about potential sources of support such as neighbors or church members. D) call upon the church's pastor and ask for help on the client's behalf.

Nursing

When caring for a patient who has an intellectual disability or developmental disability, the nursing assistant should

A) make decisions for the patient. B) give all verbal instructions at once. C) learn about the patient's interests. D) use rewards only when the patient earns them.

Nursing