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Chapter 16: Requesting Support FINAL EXAMNU 335 Maternity & Wo... Patient Education in
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In evaluating client care, which Determine if the expected outcomes of care were achieved.
action should the nurse take
first?
A female client informs the Herbs should be obtained from manufacturers with a history of
nurse that she uses herbal quality control of their supplements.
therapies to supplement her diet
and manage common ailments.
What information should the
nurse offer the client about
general use of herbal
supplements?
The nurse working in the A 55-year-old woman who has had moderate low back pain for
emergency department is three months.
assessing four clients' ability to
tolerate pain. Which client is
likely to tolerate a higher level of
pain?
As the nurse prepares the Ask the mother to be present to soothe the child.
equipment to be used to start
an IV on a 4-year-old boy in the
treatment room, he cries
continuously. What intervention
should the nurse implement?
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, A 35-year-old female client with Evaluate the client's mental status for competence to refuse
cancer refuses to allow the treatment.
nurse to insert an IV for a
scheduled chemotherapy
treatment, and states that she is
ready to go home to die. What
intervention should the nurse
initiate?
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When the nurse enters a client's "What is concerning you this morning?"
room to do an initial assessment,
the client shouts, "Get out of my
room! I'm tired of being
bothered!" How should the
nurse respond?
When caring for an immobile Impaired gas exchange.
client, what nursing diagnosis
has the highest priority?
When assessing a client with an The clamp on the urinary drainage bag is open.
indwelling urinary catheter,
which observation requires the
most immediate intervention by
the nurse?
A middle-aged woman who Generativity.
enjoys being a teacher and
mentor feels that she should
pass down her legacy of
knowledge and skills to the
younger generation. According
to Erikson, she is involved in
what developmental stage?
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An older client who is able to Place a transfer belt around the client, assist to stand, and pivot
stand but not to ambulate to a chair that is placed at a right angle to the bed.
receives a prescription to be
mobilized into a chair as
tolerated during each day.What
is the best action for the nurse
to implement when assisting the
client from the bed to the chair?
The nurse is digitally removing a Pulse rate decreases from 78 to 52 beats/min.
fecal impaction for a client. The
nurse should stop the
procedure and take corrective
action if which client reaction is
noted?
What client statement indicates "I don't understand why I'm so weak and tired."
to the nurse that the client
requires assistance with
bathing?