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The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the ... child's desire to accomplish which of the following? Select one: a. Finish a project they set out to do. b. Develop their sense of trust. c. Increase their independence. d. Gratify their oral fixation. - ✔✔C. Increase their independence At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital area. The parents ask the nurse if this behavior is something to be concerned about. Which of the following is a correct response? Select one: a. This is a possible infection or irritation in the genital area b. Awareness of body structures and sensations is normal and expected c. Your child is probably imitating behaviors that she has observed d. This is an early emergence of sexual expression that should be discouraged - ✔✔B. Awareness of body structures and sensations is normal and expected A nurse is completing a dietary evaluation for a client diagnosed with acute glomerulonephritis. Which of the following statements made by the client demonstrates understanding of necessary restrictions? Select one: a. "I should increase my fluid intake to 8-10 glasses of water a day." b. "I should increase my consumption of protein." c. "I should limit my sodium intake to 4 grams per day." d. "I should consume a diet low in carbohydrates." - ✔✔C. I should limit my sodium intake to 4 grams per day A nurse is assisting a client with bowel training. When should the nurse instruct the client to attempt defecation? Select one: a. When the client has the urge to defecate. b. When the client feels abdominal cramping. c. Every hour while awake. d. Immediately before meals. - ✔✔A. When the client has the urge to defecate A nurse is calculating the client's intake and output. Based on the information below, which of the following values correctly represents the client's total output? Sipped 8 oz. clear broth. 100 mL ice chips. Voided 450 mL. IV push pain medication 50 mL. Drank 4 oz. juice and 6 oz. hot tea. Vomited 120 mL and voided 600 mL. Jackson Pratt drain emptied 40 mL. Select one: a. 680 mL b. 1068 mL c. 590 mL d. 1210 mL - ✔✔d. 1210 mL A nurse is providing dietary education for a client with cholecystitis. Which of the following food choices made by the client indicates a need for further teaching? Select one: a. Baked potato b. Broccoli with cheese sauce c. Wheat bread d. Chicken breast - ✔✔B. Broccoli with cheese sauce *Cholecystitis: inflammation of the gallbladder A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification? Select one: a. "I should not remove the yellow exudate on the end of the penis." b. "I will clean his penis with each diaper change." c. "I can give him a tub bath in two days." d. "The circumcision will heal completely within a couple of weeks." - ✔✔C. I can give him a tub bath in two days A graduate nurse is performing ostomy care for a client with a new colostomy. Which intervention performed by the nurse indicates the need for more education? Select one: a. Measuring and assessing the stoma. b. Positioning the client standing or supine. c. Changing the pouch before a meal. d. Cleansing the peristomal skin with alcohol. - ✔✔D. Cleansing the peristomal skin with alcohol A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching? Select one: a. "My partner will put the condom on while his penis is erect." b. "My partner should leave an empty space at the tip." c. "I will remove the condom 30 minutes after intercourse." d. "I can use spermicidal gels or creams to increase effectiveness." - ✔✔C. I will remove the condom 30 minutes after intercourse A nurse is educating a client who observes Kosher laws of food preparation. When planning menus with this client, which of the following would not be an appropriate food choice? Select one: a. Spinach b. Eggs c. Tuna d. Rabbit - ✔✔d. rabbit A nurse is teaching a client about dietary modifications to help control blood pressure. Which of the following food choices by the client indicates an understanding of the teaching? Select one: a. Grilled chicken salad with fresh salsa b. Vegetarian wrap with chips c. French onion soup and salad d. Chicken bouillon and crackers - ✔✔a. Grilled chicken salad with fresh salsa Grilled chicken salad and fresh salsa are both made from fresh (preservative-free) materials and therefore are likely to be of lower sodium content than French onion soup, chips, chicken bouillon, or crackers. A nurse is preparing a client for discharge after an anterior-posterior colporrhaphy. Which of the following statements made by the client indicates a need for further teaching? Select one: a. "I will tighten my pelvic muscles when coughing." b. "I will avoid standing for prolonged periods of time." c. "I will increase my daily fluid intake." d. "I will increase my fiber intake to stay regular." - ✔✔d. I will increase my fiber intake to stay regular A nurse is caring for a client who is neutropenic. Which of the following foods are appropriate for this client? Select one: a. Lettuce and alfalfa sprouts b. Cooked spinach and celery c. Fresh strawberries and carrots d. Raw cauliflower or broccoli - ✔✔b. cooked spinach and celery . Raw or fresh foods contain bacteria that are generally well-tolerated by a person who has a healthy immune system. The client with leukemia is immunosuppressed has decreased resistance to infection; therefore, raw food should not be served because it could be a potential source of infection. A nurse is taking the health history of a school-age girl. Which statement by the client's mother indicates a need for further teaching regarding the client's nutritional status? Select one: a. "We increase her protein intake when she's playing sports." b. "She eats a large breakfast every morning." c. "She enjoys helping to prepare her snacks in the kitchen." d. "We allow her to pick out a treat at the grocery store for good behavior." - ✔✔d. we allow her to pick out a treat at the grocery store for good behavior A nurse has administered the first DTaP (diphtheria toxoid, tetanus and pertussis) immunization to a two-month-old infant. For which of the following symptoms should the nurse teach the parents to seek immediate medical attention? Select one: a. The baby develops swelling or redness at the injection site b. The baby is crying inconsolably for more than three hours c. The baby develops a localized or generalized rash d. The baby has an axillary temperature of 100.4o F. (38o C) - ✔✔B. The baby is crying inconsolably for more than three hours A nurse is providing dietary teaching to a client diagnosed with ulcerative colitis. Which of the following foods should the nurse instruct the client to avoid? Select one: [Show More]

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