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?

"I will help you sit up and get your slippers on."

"If you do not get out of bed, you will not receive your meal."

"You should rest in bed until you feel able to take part in unit activities."

"You really need to follow the rules of the unit and get out of bed.".

Answer and Explanation

The Correct Answer is A

This statement shows empathy and support for the client.
It also encourages the client to engage in self-care activities and promotes independence.
Choice B is not appropriate because it is a threat and does not show empathy or support for the client.
Choice C is not appropriate because it encourages the client to remain passive and does not promote independence.
Choice D is not appropriate because it is confrontational and does not show empathy or support for the client.

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Correct Answer is C

Explanation

Elevated levels of MSAFP may indicate that the baby is at risk of a neural tube defect, like spina bifida.
However, further testing is required to confirm the results and determine the cause of the elevated levels.

Choice A is incorrect because low levels of MSAFP may indicate a risk for Down syndrome, not elevated levels.
Choice B is incorrect because while elevated levels of MSAFP may indicate a risk for neural tube defects, further testing is required to confirm this.
Choice D is incorrect because while repeating the test may be necessary, further testing beyond just repeating the MSAFP screening may also be required.

A. Assist the client to ambulate. B. Increase the rate of IV fluids. C. Check for blood under the client's buttock. D. Perform fundal massage.

Correct Answer is C

Explanation

The nurse should check for blood under the client’s buttocks.
A small amount of lochia rubra on the client’s perineal pad 4 hours postpartum is normal.
The fundus being midline and firm at the umbilicus is also a normal finding.
Choice A is incorrect because assisting the client to ambulate is not necessary at this time.
Choice B is incorrect because there is no need to increase the rate of IV fluids.
Choice D is incorrect because performing a fundal massage is not necessary since the fundus is already firm and midline.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse has just received the results of a pregnant client's MSAFP screening and notes the levels are elevated. The nurse should prioritize which discussion with the client.

Correct Answer is C

Explanation

A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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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?