A nurse is collecting data from a client who is 18 hr postpartum. The nurse notes that the client is in the "taking-in phase" of maternal adjustment. Which of the following manifestations should the nurse expect?

Tolerates physical discomforts

Performs self-care independently

Begins reconnecting with their partner

Is eager to review the birth experience

Answer and Explanation

The Correct Answer is D

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Correct Answer is B

Explanation

Choice A Reason:

A. Changing the appliance on a new colostomy requires specialized knowledge of ostomy care and assessment, including assessing stoma health and proper technique.

Choice B Reason:

This is an appropriate task to delegate to an AP. APs are trained to perform basic tasks like catheter care under the supervision of a nurse.

Choice C Reason

Demonstrating how to use an incentive spirometer involves patient education and assessment of the patient's ability to perform the procedure correctly, which requires clinical judgment and teaching skills and should not be delegated to an AP.

Choice D Reason:

This task involves assessing the wound, which requires clinical judgment and should be done by a nurse, not an AP.

A. "My child still wets the bed at least two times per week." B. "I have noticed that my child is withdrawn since we switched day care providers." C. "I have a difficult time getting my child to eat green vegetables." D. "My child continually asks me the same questions."

Correct Answer is B

Explanation

The guardian's observation about the child being withdrawn since the switch of daycare providers is particularly important. It suggests a change in behavior that could potentially indicate emotional or social difficulties.

The nurse should explore this further to gather more information and assess the child's well-being in the new daycare setting. It is essential to ensure the child's emotional health and address any potential issues that may be affecting their well-being and development.

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A nurse is collecting data from a client who is 18 hr postpartum. The nurse notes that the client is in the "taking-in phase" of maternal adjustment. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?

Correct Answer is B

Explanation

A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address?

Correct Answer is B

Explanation

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