A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage?
- ANSWER>>"Gently stroke her abdomen during contractions"
A nurse is caring for an older adult client who is postoperative following a total hip arthroplasty. The client is incontinent of stool and urine. Which of the following actions should the nurse take to prevent skin breakdown?
- ANSWER>>Use a moisture barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse take to promote the client's autonomy?
- ANSWER>>Allow the client to choose treatment times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences a sudden gush of vaginal fluids. Which of the following findings is evidence of an obstetric complication?
- ANSWER>>Appears greenish-brown in color
A nurse is assisting with the care of an adolescent client immediately following a lumbar puncture. Which of the following actions should the nurse take?
- ANSWER>>Inform the adolescent that he might experience a headache
A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching?
- ANSWER>>"I should discuss this document with my family after I sign it"
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate. The nurse notices clots and dark red blood in the catheter collection bag. Which of the following actions should the nurse take?
- ANSWER>>Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
ati ati comprehensive predictor ati pharmacology proctored community health comprehensive fundamentals health care health care / nursing health care/ nursing healthcare hesi hesi rn exit leadership maternal newborn med surg medical surgical mental health nurs nursing nursing & health nutrition pediatrics pharmacology test bank tncc
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