A nurse is caring for a postpartum client in an outpatient setting.

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing
dropdown
as evidenced by the client
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

The client is at highest risk for developing mastitis as evidenced by the client'scracked nipple.

Rationale

The client has visible cracks on the left nipple, which is a key risk factor for mastitis. Cracked nipples can allow bacteria to enter the breast tissue during breastfeeding, leading to mastitis, especially if the nipples are not healing properly or the breastfeeding technique is suboptimal. The client also reports nipple discomfort throughout breastfeeding, which increases the likelihood of mastitis.

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Correct Answer is D

Explanation

A. Using the balloon port can contaminate the specimen and is not the proper method to obtain a sterile sample.
B. Disconnecting the catheter from the collection tubing can increase the risk of infection.
C. Unclamping the collection port could cause urine to back up into the catheter and introduce bacteria.
D. The retention port should be used to obtain a sterile specimen from the catheter, as it is designed for this purpose.

A. Refute the client's delusions using logic. B. Give the client one simple direction at a time. C. Establish eye contact when communicating with the client. D. Allow the client to choose among a variety of activities each day. E. Reinforce orientation to time, place, and person.

Correct Answer is ["B","C","D","E"]

Explanation

A. Refuting delusions using logic can increase agitation and confusion. Instead, the nurse should offer reassurance and validation without arguing.
B. Giving the client one simple direction at a time helps minimize confusion and enhances the client’s
ability to follow instructions.
C. Establishing eye contact is important for communication and shows attentiveness, helping the client feel connected.
D. Allowing the client to choose among activities provides a sense of autonomy and can reduce agitation.
E. Reinforcing orientation helps maintain the client’s awareness of time, place, and person, which can reduce disorientation and anxiety.

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A nurse is caring for a postpartum client in an outpatient setting. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developingdropdownas evidenced by the clientdropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an indwelling urinary catheter. The nurse notes that sediment is present in the urine. Which of the following actions should the nurse take to obtain a sterile urine specimen?

Correct Answer is D

Explanation

A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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A nurse is caring for a postpartum client in an outpatient setting.

Exhibits

Complete the following sentence by using the lists of options.

The client is at highest risk for developing
dropdown
as evidenced by the client
dropdown