A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, "I can't seem to do anything right. What should I do?" Which of the following responses should the nurse make?

"I'll take him back to the nursery, so you can get some rest."

"Let me show you how to swaddle and cuddle him, then you try."

"Babies need to cry soon after they are born to develop their lungs.

"If I turn him on his side, maybe he'll go back to sleep."

Answer and Explanation

The Correct Answer is B

This response acknowledges the client's concern and offers support and guidance. By demonstrating and encouraging the client to participate in swaddling and cuddling the newborn, the nurse promotes bonding, provides a practical solution for soothing the baby, and empowers the client to actively engage in caring for her child.

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Correct Answer is C

Explanation

A nurse assisting with the care of a client who is 6 hours postoperative following a right total knee arthroplasty should check the client's pedal pulses every hour. This is important to assess the adequacy of blood flow and tissue perfusion to the extremity.

It is also important to monitor the client's pain level, administer pain medication as ordered, and encourage the client to perform exercises as appropriate.

The head of the client's bed should be maintained in a semi-Fowler's position to promote optimal respiratory function, and the client's dressing should be changed only as needed and with sterile technique.

An abductor wedge is not typically used following knee arthroplasty surgery.

A. Encourage the client to drink 3,000 mL of ﬂuid daily. B. Change the indwelling urinary catheter tubing every 3 days. C. Place the drainage bag on the bed when transporting the client. D. Empty the drainage bag when it is half-full. E. Review the need for the indwelling urinary catheter daily. F. Use soap and water to provide perineal care.

Correct Answer is ["A","D","E","F"]

Explanation

To decrease the risks for a urinary tract infection for this client, the nurse should take several actions. The nurse should encourage the client to drink 3,000 mL of ﬂuid daily to help ﬂush bacteria out of the urinary tract¹. The nurse should also empty the drainage bag when it is half-full to prevent bacterial growth¹.

Additionally, the nurse should review the need for the indwelling urinary catheter daily and use soap and water to provide perineal care¹.

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A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, "I can't seem to do anything right. What should I do?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is 6 hr postoperative following a right total knee arthroplasty. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Correct Answer is ["A","D","E","F"]

Explanation

A nurse is assisting with the development of an education program for a group of older adults. Which of the following actions should the nurse take first?

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