ANSWERS
The nurse is assessing the psychosocial status of a
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postpartum client. Which statement indicates that the |\ |\ |\ |\ |\ |\ |\
mother is likely to have a successful parent-neonate
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attachment?
a) "My previous experience was so awesome!"
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b) "I want to lie skin to skin with my baby for as long as
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possible after delivery." |\ |\ |\
c) "Bonding is important to my baby's development."
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d) "I want to bond with my baby right away." - CORRECT
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ANSWERS ✔✔b) "I want to lie skin to skin with my baby |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for as long as possible after delivery."
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Reason: Sustained parent-neonate contact immediately
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after delivery is most likely to promote parent-neonate
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attachment. The first period of neonatal reactivity, which |\ |\ |\ |\ |\ |\ |\ |\
occurs during the first hour after delivery, is the ideal
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time for behavior that promotes attachment, such as
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touching, holding, talking, examining, and breast-feeding.
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Although parental desire to bond and understanding of
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the importance of bonding can contribute to parent-
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neonate attachment, early contact is a prerequisite. A
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,previous positive childbirth experience may enhance|\ |\ |\ |\ |\ |\
parent-neonate attachment but is less crucial than |\ |\ |\ |\ |\ |\ |\
sustained contact immediately after delivery |\ |\ |\ |\
A client had a laxative prescribed that acts by causing
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stool to absorb water and swell. Which term describes
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this type of laxative?
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|\ a) Emollient
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|\ b) Bulk-forming
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|\ c) Stimulant
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|\ d) Lubricant - CORRECT ANSWERS ✔✔b) Bulk-forming
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Reason: Bulk-forming laxatives cause stool to absorb
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water and swell. Emollients lubricate stool; lubricants
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soften stool, making it easier to pass. Stimulants promote
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peristalsis by irritating the intestinal mucosa or |\ |\ |\ |\ |\ |\ |\
stimulating nerve endings in the intestinal wall |\ |\ |\ |\ |\ |\
The nurse is caring for a client with celiac disease. How
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should the nurse evaluate the effectiveness of nutritional
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therapy?
a) Measure blood urea nitrogen and serum creatinine
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levels.
,b) Measure intake and output.
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c) Monitor vital signs every 4 hours.
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d) Monitor the appearance, size, and number of stools. -
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CORRECT ANSWERS ✔✔d) Monitor the appearance, size, |\ |\ |\ |\ |\ |\ |\
and number of stools.|\ |\ |\
Reason: When a client with celiac disease is placed on a
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gluten-free diet, fat, bulky, foul-smelling stools should be |\ |\ |\ |\ |\ |\ |\ |\
eliminated. This indicates that the disease is controlled |\ |\ |\ |\ |\ |\ |\ |\
and the client is using nutrients effectively. Taking vital
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signs, measuring blood urea nitrogen and serum
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creatinine levels, and measuring intake and output don't
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provide an indication of the effectiveness of diet therapy
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What elements must be proven by a client's attorney in
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the case of a professional negligence action?
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|\ a) Duty, breach of duty, and damages
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|\ b) Duty, damages, and causation
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|\ c) Breach of duty, damages, and causation
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d) Duty, breach of duty, damages, and causation -
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CORRECT ANSWERS ✔✔d) Duty, breach of duty, |\ |\ |\ |\ |\ |\ |\
damages, and causation |\ |\
, Reason: Any professional negligence action must meet
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certain demands in order to be considered negligence
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and result in legal action. They're commonly known as the
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four D's: duty of the health care professional to provide
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care to the person making the claim, a dereliction
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(breach) of that duty, damages resulting from that breach
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of duty, and evidence that damages were directly due to
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negligence (causation) |\
The infection control nurse is making rounds to ensure
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that airborne precautions are being observed while caring
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for clients with tuberculosis. Which action by the staff
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nurse requires further education?
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a) The nurse double-bags respiratory secretions.
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b) The nurse dons a surgical isolation mask when entering
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the client's room.
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c) The client's meals are served on disposable trays.
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d) The nurse gathers disposable client care items. -
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CORRECT ANSWERS ✔✔b) The nurse dons a surgical |\ |\ |\ |\ |\ |\ |\ |\
isolation mask when entering the client's room. |\ |\ |\ |\ |\ |\
Reason: When entering the room of a client with
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tuberculosis, the nurse should wear an N95 particulate |\ |\ |\ |\ |\ |\ |\ |\
respirator mask because surgical isolation masks allow |\ |\ |\ |\ |\ |\ |\
turbide bacilli to pass through. All trash and waste should
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