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 C

Explanation

A. Encouraging the client to use nearby furniture is unsafe for a client on complete bed rest.

B. Physical therapy is not typically called to assist with bathroom use for an end-of-life client.

C. This response acknowledges the client’s emotional state and opens communication to address their concerns empathetically.

D. Telling the client they "have to" use a bed pan without further discussion may come across as dismissive or insensitive.

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

Explanation

Evaluating the fetal heart rate tracing: This is crucial to assess the well-being of the fetus, especially given the client's report of decreased fetal movement.
Administering magnesium sulfate IV: This is important for managing severe preeclampsia and preventing seizures.

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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 caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement, and the nurse offers a bed pan. The client states, "I've always used the bathroom." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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

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 _