A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?

Perform unbiased teaching.

Select the best method of contraception for the client.

Assess the client's socioeconomic status.

Collect a dietary history.

Answer and Explanation

The Correct Answer is A

A.   The nurse's role is to provide education and information about available methods of contraception without imposing personal beliefs or preferences.
B.   It is not the nurse's role to select the method of contraception for the client. The decision should be made by the client based on their individual preferences and health considerations.
C.   While assessing the client's socioeconomic status may be relevant for some aspects of care, it is not directly related to providing information about contraception.
D.   Collecting a dietary history is not relevant to a client's inquiry about contraception.

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Correct Answer is C

Explanation

A. Placing the client in a side-lying position may be a comfort measure, but it may not address the afterpains directly.
B. Applying a cool compress may provide some relief, but it may not be as effective as administering medication for pain relief.
C. Administering ibuprofen or other appropriate pain medication can help relieve afterpains, which are caused by uterine contractions after childbirth.
D. Encouraging Kegel exercises is not relevant to relieving afterpains. Kegel exercises are beneficial for pelvic floor muscle strength but do not directly address afterpains.

A. A newborn who has blue hands and feet with an axillary temperature of 36.6°C (97.9°F) B. A newborn who has lost 12% of her birth weight C. A newborn who is 24 hr post-circumcision and has yellow exudate D. A newborn who has a blood glucose level of 63 mg/dL

Correct Answer is A

Explanation

A. The newborn with blue hands and feet (acrocyanosis) along with a normal axillary temperature of 36.6°C (97.9°F) could indicate a need for further assessment. While acrocyanosis can be normal in newborns, it is essential to monitor for any signs of respiratory distress or circulatory issues. Since this newborn is exhibiting a potential sign of compromised circulation, this infant should be attended to first.

B. A newborn who has lost 12% of her birth weight is concerning, as significant weight loss in newborns can indicate feeding problems or other underlying issues. However, this would not take precedence over potential acute issues like those indicated in option A.

C. A newborn who is 24 hours post-circumcision with yellow exudate is expected to have some discharge as part of the healing process. If the exudate is not foul-smelling and there are no signs of infection, this is typically a normal finding.

D. A newborn with a blood glucose level of 63 mg/dL is within the normal range for newborns, as acceptable levels are typically above 40 mg/dL. Therefore, this does not require immediate attention.

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A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?

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