The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the child's desire to ac
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The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the child's desire to accomplish which of the following?
Select one:
a. Finish a project they set out to do.
b. Develop their sense of trust.
c. Increase their independence.
d. Gratify their oral fixation. - Ans-C. Increase their independence
At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital area. The parents ask the nurse if this behavior is something to be concerned about. Which of the following is a correct response?
Select one:
a. This is a possible infection or irritation in the genital area
b. Awareness of body structures and sensations is normal and expected
c. Your child is probably imitating behaviors that she has observed
d. This is an early emergence of sexual expression that should be discouraged - Ans-B. Awareness of body structures and sensations is normal and expected
A nurse is completing a dietary evaluation for a client diagnosed with acute glomerulonephritis. Which of the following statements made by the client demonstrates understanding of necessary restrictions?
Select one:
a. "I should increase my fluid intake to 8-10 glasses of water a day."
b. "I should increase my consumption of protein."
c. "I should limit my sodium intake to 4 grams per day."
d. "I should consume a diet low in carbohydrates." - Ans-C. I should limit my sodium intake to 4 grams per day
A nurse is assisting a client with bowel training. When should the nurse instruct the client to attempt defecation?
Select one:
a. When the client has the urge to defecate.
b. When the client feels abdominal cramping.
c. Every hour while awake.
d. Immediately before meals. - Ans-A. When the client has the urge to defecate
A nurse is calculating the client's intake and output. Based on the information below, which of the following values correctly represents the client's total output?
Sipped 8 oz. clear broth.
100 mL ice chips.
Voided 450 mL.
IV push pain medication 50 mL.
Drank 4 oz. juice and 6 oz. hot tea.
Vomited 120 mL and voided 600 mL.
Jackson Pratt drain emptied 40 mL.
Select one:
a. 680 mL
b. 1068 mL
c. 590 mL
d. 1210 mL - Ans-d. 1210 mL
A nurse is providing dietary education for a client with cholecystitis. Which of the following food choices made by the client indicates a need for further teaching?
Select one:
a. Baked potato
b. Broccoli with cheese sauce
c. Wheat bread
d. Chicken breast - Ans-B. Broccoli with cheese sauce
*Cholecystitis: inflammation of the gallbladder
A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification?
Select one:
a. "I should not remove the yellow exudate on the end of the penis."
b. "I will clean his penis with each diaper change."
c. "I can give him a tub bath in two days."
d. "The circumcision will heal completely within a couple of weeks." - Ans-C. I can give him a tub bath in two days
A graduate nurse is performing ostomy care for a client with a new colostomy. Which intervention performed by the nurse indicates the need for more education?
Select one:
a. Measuring and assessing the stoma.
b. Positioning the client standing or supine.
c. Changing the pouch before a meal.
d. Cleansing the peristomal skin with alcohol. - Ans-D. Cleansing the peristomal skin with alcohol
A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching?
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