A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?

A family whose head of household lost their job.

A family whose house was destroyed in a fire.

A family whose only child recently died due to cancer.

A family whose oldest child is moving away for college.

Answer and Explanation

The Correct Answer is D

A.   This represents a situational loss, as it is related to external circumstances such as economic changes.
B.   This also represents a situational loss, as it involves the loss of material possessions.
C.   This is a situational loss, specifically a loss of a loved one, which is different from a maturational loss. It is unexpected and occurs due to an external event or situation.
D.   This is an example of a maturational loss, as it involves a normal life transition that brings about feelings of loss and adjustment.

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Correct Answer is B

Explanation

A. Active bleeding with significant blood is characterized by weak and thread pulses and not bounding pulses.
B. Restlessness can be a sign of hypovolemia and decreased tissue perfusion, which may occur with active bleeding.
C. Warm skin may not necessarily indicate active bleeding but rather normal thermoregulation or vasodilation.
D. Brisk capillary refill is a sign of adequate peripheral perfusion and is not typically associated with active bleeding which is characterized by delayed capillary refill.

A. Respiratory rate 7/min B. Distended bladder C. Last bowel movement was 3 days ago D. Reports pain of 8 on a scale from 0 to 10

Correct Answer is A

Explanation

A. A respiratory rate of 7/min is below the normal range and may indicate opioid- induced respiratory depression, which is a life-threatening complication requiring immediate intervention.
B. While important, a distended bladder does not pose an immediate threat to the client's life compared to respiratory depression.
C. Constipation is a common side effect of opioid medications but does not require immediate intervention unless accompanied by severe symptoms such as fecal impaction or bowel obstruction.
D. Pain management is important, but respiratory depression takes priority as it can lead to respiratory arrest and death.

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A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?

Correct Answer is B

Explanation

A nurse is assessing a client who received morphine for severe pain 30 min ago. Which of the following findings is the nurse's priority?

Correct Answer is A

Explanation

A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?

A nurse is reviewing the medical record of a client who has a paralytic ileus. Exhibits Select words from the choices below to fill in each blank in the following sentence. The findings in the client's medical record indicate dropdown and dropdown

A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, "I am looking forward to seeing my grandchildren grow up." The nurse should identify that the client is experiencing which of the following stages of grief?

A nurse is providing discharge teaching to a client who is at risk for falls. Which of the following information should the nurse include in the teaching?

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

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A nurse is preparing to administer cefoxitin 80 mg/kg/day IV every 6 hr to a 6-year-old child who weighs 20 kg. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)