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 A

Explanation

When caring for a client with confusion and memory loss, it is important for the nurse to create a safe and comfortable environment for the client. Maintaining low-level lights in common areas can help to reduce confusion and disorientation¹.

A. Tell the APS to stop the conversation. B. Document the event in the client's progress notes. C. Inform the client of the AP's actions. D. Submit an incident report to the risk manager.

Correct Answer is A

Explanation

Maintaining confidentiality and protecting the privacy of clients is a fundamental responsibility of healthcare professionals.

When the nurse becomes aware of a conversation between APs that breaches this confidentiality, it is essential to intervene promptly.

The nurse should approach the APs and respectfully ask them to stop the conversation and remind them about the importance of maintaining client confidentiality.

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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 in an adult day care facility is contributing to the plan of care for a client whose family reports recent confusion and memory loss. Which of the following strategies should the nurse include in the plan?

Correct Answer is A

Explanation

A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

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A nurse is completing postmortem documentation for a client. Which of the following information should the nurse include in the documentation?

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A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse take to promote the client's autonomy?

A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this client care incident?

A nurse is reinforcing teaching with a client about collecting a stool specimen to check for occult blood. Which of the following statements by the client indicates an understanding of the teaching?