A nurse in a postpartum clinic is caring for a client who has returned for their 6-week postpartum visit. The client states emphatically, "I hate when the baby cries, and I can't get them to stop." Which of the following statements should the nurse respond with?

"You should try putting the baby in a carrier so you can take a walk when they start crying.”

"Tell me more about what is going on when the baby starts crying.”

"Many parents have told me it gets better when the baby is about 3 months old.”

"As a new parent, you should be enjoying your time with the baby.”

Answer and Explanation

The Correct Answer is B

A. "You should try putting the baby in a carrier so you can take a walk when they start crying.": This response may not address the client's emotional frustration. It's important to first listen and understand the full context before offering advice.

B. "Tell me more about what is going on when the baby starts crying.": This response shows empathy and invites the client to share more about their experience. It allows the nurse to better understand the situation and provide support or guidance tailored to the client’s concerns.

C. "Many parents have told me it gets better when the baby is about 3 months old.": It's important to explore the client’s current experience and feelings rather than assuming their situation will improve without validating their concerns.

D. "As a new parent, you should be enjoying your time with the baby.": This statement may come across as judgmental as it implies the client should be feeling something different. It is important to acknowledge and validate the client's feelings.

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Correct Answer is A

Explanation

A. Use a standardized approach to giving the handoff report: Using a standardized approach, such as SBAR (Situation, Background, Assessment, Recommendation), ensures that all necessary information is communicated clearly and systematically.

B. Encourage the oncoming shift nurse to contact the provider with any questions: The primary focus of the handoff report should be to provide the oncoming nurse with all necessary information. Directly contacting the provider should not be a primary strategy.

C. Provide the handoff report at the nurses' station: Providing a report at the nurses' station may not be private or conducive to clear communication. It is better to conduct the report in a private area or at the client’s bedside to ensure confidentiality and clarity.

D. Record a verbal report on a recorder for the oncoming nurse to listen to: Recorded reports are not ideal for ensuring continuity of care because they lack the interactive aspect of handoff, such as clarifying questions or addressing concerns in real time.

A. Prop the feet up. B. Apply an abduction pillow to the legs. C. Use a trochanter roll. D. Use foot splints.

Correct Answer is D

Explanation

A. Prop the feet up: Proping the feet up may not be effective in preventing plantar flexion contractures, as it does not provide sustained support to keep the feet in a neutral position. Plantar flexion can still occur with this position.

B. Apply an abduction pillow to the legs: An abduction pillow is used to keep the hips in a neutral position, not to prevent plantar flexion contractures. It is useful for preventing hip contractures but not specifically for the feet.

C. Use a trochanter roll: A trochanter roll helps prevent external rotation of the hip joint, not plantar flexion of the feet. It is used for positioning to prevent hip complications, but it does not address foot position or contracture prevention.

D. Use foot splints: Foot splints are designed to keep the feet in a neutral or dorsiflexed position, preventing the toes from pointing downward (plantar flexion). This is the most effective intervention to prevent plantar flexion contractures in an immobile client.

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A nurse in a postpartum clinic is caring for a client who has returned for their 6-week postpartum visit. The client states emphatically, "I hate when the baby cries, and I can't get them to stop." Which of the following statements should the nurse respond with?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing a handoff report to the oncoming shift nurse. Which of the following actions should the nurse take to ensure continuity of client care?

Correct Answer is A

Explanation

A nurse is caring for a client who is immobile. Which of the following interventions should the nurse plan to take to prevent plantar flexion contractures?

Correct Answer is D

Explanation

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