A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage?

"Assist her to breathe in deeply at the beginning of each contraction."

"Apply steady pressure with this tennis ball to her sacral area."

"Gently stroke her abdomen during contractions."

"Help her to focus on an object in the room."

Answer and Explanation

The Correct Answer is C

The correct answer is C. Effleurage is a type of massage that involves gently stroking or rubbing the abdomen during contractions to provide comfort and distraction. It can also stimulate endorphin release and reduce pain perception. Breathing deeply at the beginning of each contraction is a relaxation technique, not effleurage. Applying pressure to the sacral area with a tennis ball is a counterpressure technique, not effleurage. Focusing on an object in the room is a focal point technique, not effleurage.

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Correct Answer is C

Explanation

The correct answer is C. The risk manager.

Rationale: The risk manager is responsible for identifying and managing potential or actual sources of harm or loss in a healthcare organization. The risk manager would be interested in analyzing the data on zolpidem use and fall rate, implementing preventive measures, and reporting adverse events to regulatory agencies if needed. The surgeon may not be directly involved in prescribing zolpidem or monitoring its effects on postoperative clients. The case manager may not have access to or authority over medication administration policies or practices. The pharmacist may be able to provide information on zolpidem's pharmacokinetics and pharmacodynamics, but may not be able to address the organizational factors that contribute to fall risk.

A. "I wouldn't worry about this right now. Let's focus on your chemotherapy." B. I will get you information about some head-covering options." C. "Let's discuss this when we have more time." D. "I can't imagine how difficult it would be to lose my hair."

Correct Answer is B

Explanation

Answer: B.I will get you information about some head-covering options." Explanation: This response shows empathy and respect for the client's concerns and provides information and support for coping with hair loss. The other responses are dismissive, evasive, or intrusive.

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A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse determines that clients who receive zolpidem postoperatively have an increased fall rate compared to other postoperative clients. To which of the following members of the health care team should the nurse report these findings?

Correct Answer is C

Explanation

A nurse is caring for a client who is to begin chemotherapy. The client asks the nurse about managing hair loss. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is using a glucometer to measure a client's capillary blood glucose level. Which of the following actions should the nurse take?

A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse should place the client in which of the following positions?

A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?

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?

A nurse is caring for a client who is in labour and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?

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?

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