A nurse is collecting data from a client who is 14 hr postpartum.

The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F); pulse rate 88/min; respiratory rate 18/min.

Which of the following actions should the nurse perform?

The nurse is collecting data from the caregiver of an 8-year-old child who recently started soiling his underwear each day rather than using the toilet to defecate.

This behavior indicates a symptom of:

A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress.

Which of the following statements by the nurse is appropriate?

A client arrives at the clinic very excitedly and reports a positive home pregnancy test.

The nurse cautions that the home pregnancy test is considered a presumptive sign and will assess the client for which sign to confirm pregnancy.

A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery.

The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?

The nurse is teaching family members of a child newly diagnosed with muscular dystrophy about early signs.

The nurse knows that teaching was successful when a parent states that which of the following signs may indicate the condition early?

A 5-year-old boy was diagnosed with Duchenne muscular dystrophy less than 18 months ago.

The client presents with fatigue, and muscular weakness and is having difficulty running, and often falls majority of his attempts.

Which of the following would the nurse expect to be elevated in Duchenne muscular dystrophy?

The nurse is teaching a prenatal class on the functions of the various structures involved with pregnancy.

The nurse determines the class is successful when the class correctly chooses which function of amniotic fluid.

The nurse is teaching the parent of a child with newly diagnosed Juvenile idiopathic arthritis (JIA).

The nurse would evaluate the teaching as successful when the parent understands treatment involves the use of what medication?

A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis.

Which of the following interventions is the priority for the nurse to implement?

A nurse is selecting a toy for a 7-month-old infant.

Which of the following toys should the nurse choose?