Oil-retention enemas are retained for at least:
a. 15 minutes.
b. 15 to 30 minutes.
c. 30 to 180 minutes.
d. 3 hours.
C
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A client's wife has been making excuses for her alcoholic husband's work absences. In family therapy, she states, "His problems at work are my fault." Which is the appropriate nursing response?
1. "Why do you assume responsibility for his behaviors?" 2. "I think you should start to confront his behavior." 3. "Your husband needs to deal with the consequences of his drinking." 4. "Do you understand what the term enabler means?"
The nurse administers vitamin K to the newborn for what reason?
a. Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient. b. Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection. c. Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract. d. The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.
An older couple is considering moving into a retirement community. What reaction by the nurse is best?
a. "That's a good idea to consider at your age." b. "Check on what levels of care they pro-vide." c. "Do you have enough money to afford this?" d. "What does your family think of this idea?"
The nurse notices that the client has a tumor of small blood vessels and documents this finding as:
a. Vascular nevi. b. Purpura. c. Ecchymosis d. Cherry hemangioma.