A nurse is caring for a client on an acute mental health unit.

Exhibits

Complete the following sentence by using the list of options.

The nurse should delegate the client's
____
and focus on _

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Daily weights: This task can be delegated to ensure consistent monitoring of the client's weight, which is crucial for assessing nutritional status and progress.

Observing meals: The nurse should focus on observing meals to ensure the client is eating properly and not engaging in behaviors such as pocketing food or spitting it out, which are common in clients with eating disorders.

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Correct Answer is D

Explanation

A. A reddened area without induration is not a positive result.

B. A reddened area without induration is not considered positive.

C. An induration of 5 mm is positive only for high-risk groups (e.g., immunocompromised clients).

D. An induration measuring 10 mm is considered positive in most adults, indicating TB exposure.

A. Inform the client that using pharmacological pain management will not impact the delivery. B. Encourage the client to have the family exit the room when the pain is unbearable. C. Have the client exhale deeper than she inhales to promote adequate ventilation. D. Provide information about the use of hydrotherapy during labor.

Correct Answer is D

Explanation

A. Informing the client about pharmacological pain management contradicts her decision for a natural childbirth.

B. Encouraging family to leave during pain is unnecessary and may reduce support, which is essential for coping during labor.

C. Breathing techniques are helpful, but exhaling deeper than inhaling may not be appropriate for ventilation; rhythmic breathing is typically encouraged.

D. Hydrotherapy (such as warm baths or showers) is a natural pain management technique that can promote relaxation and decrease labor pain.

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Body Systems	Findings
Respiratory	Respiratory rate 26/min
Cardiovascular	Heart rate 112/min Capillary refill 4 seconds
Gastrointestinal	Hyperactive bowel sounds
Integumentary	Diaper area reddened with erythema noted Extremities cool Reports no tears
Neurologic	Lethargic

A nurse is caring for a client on an acute mental health unit. Exhibits Complete the following sentence by using the list of options. The nurse should delegate the client's ____________ and focus on _________

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reading a tuberculin skin test for a client who received a purified protein derivative test 72 hr ago. Which of the following findings indicates a positive test?

Correct Answer is D

Explanation

A nurse is caring for a client who is in the active phase of labor and has decided to have a natural childbirth. Which of the following pain management techniques should the nurse suggest?

Correct Answer is D

Explanation

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A nurse is caring for a client on an acute mental health unit.

Exhibits

Complete the following sentence by using the list of options.

The nurse should delegate the client's
____
and focus on _