The nurse enters the room and finds the adult client masturbating. What action should the nurse take?

A)

Request that the client stop so that care can be provided.
B)

Say "excuse me" and leave the room.
C)

Ask the client if there are any sexual concerns that should be discussed.
D)

Tell the client that masturbation is harmful to sexual well-being.


B

Nursing

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A rehabilitation nurse cares for a client who is wheelchair bound. Which intervention should the nurse implement to prevent skin breakdown?

a. Place pillows under the client's heels. b. Have the client do wheelchair push-ups. c. Perform wound care as prescribed. d. Massage the client's calves and feet with lotion.

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A shift to the left of the oxyhemoglobin dissociation curve would cause which of the following?

a. Better tissue perfusion c. Decreased hemoglobin affinity for O2 b. Lower SpO2 d. Impaired tissue oxygen delivery

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To assess the effect of epoetin alfa on a client with chronic renal failure, the nurse would monitor

a. blood urea nitrogen level. b. hematocrit level. c. leukocyte count. d. serum creatinine level.

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Clients should be advised that the overuse of bronchodilators may cause:

a. pneumonia. c. nausea or vomiting. b. bronchoconstriction. d. headache.

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