A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor. The nurse knows she has included the appropriate information in her teaching when the client tells her:
During the admitting mental health assessment, a client demonstrates involuntary muscular activity. He has a marked facial tic around the mouth that is distracting to the nurse during the interview. The nurse recognizes the behavior and documents it as:
A female client is anticipating a visit with her parents over the Thanksgiving holidays. She has recently begun experiencing periods of extreme shortness of breath, which her physician has labeled as panic attacks. Which of the following statements by the nurse would enhance therapeutic communication?
In an interview for suspected child abuse, the child’s mother openly discusses her feelings. She feels her husband is too aggressive in disciplining their child. The child’s father states, “Being a school custodian, I see kids every day that are bad because they did not get enough discipline at home. That will not happen to our child.” Based on this remark, the nurse would make the following nursing diagnosis:
A female client decides on hemodialysis. She has an internal vascular access device placed. To ensure patency of the device, the nurse must:
The postpartum nurse should include which of the following instructions to breast-feeding mothers?
A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for routine examination and screening. Which of these plans by the nurse would be most successful?
A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:
A 74-year-old female client is 3 days postoperative. She has an indwelling catheter and has been progressing well. While the nurse is in the room, the client states, “Oh dear, I feel like I have to urinate again!” Which of the following is the most appropriate initial nursing response?
Which of the following findings would necessitate discontinuing an IV potassium infusion in an adult with ketoacidosis?
TESTED 23 Feb 2025
