A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?

Obtain the child's dietary history.

Offer the child nutritious snacks between meals.

Encourage the family to be with the child during mealtimes.

Instruct the family to praise the child when they eat.

Answer and Explanation

The Correct Answer is A

A.   Correct. Gathering information about the child's dietary history is the first step to understanding the potential underlying causes of poor intake.
B.   Incorrect. Offering nutritious snacks is important, but understanding the child's history is a higher priority.
C.   Incorrect. While family presence during mealtimes is important, addressing the child's dietary intake takes precedence.
D.   Incorrect. Praise is important but doesn't address the underlying issue of poor dietary intake.

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Correct Answer is A

Explanation

A. Correct. Overhearing private client information being discussed by staff members violates the client's right to privacy and confidentiality. The nurse should address the situation immediately and instruct the assistive personnel to stop the conversation.
B. Incorrect. While documenting the event in the client's progress notes may be necessary, addressing the inappropriate behavior of the assistive personnel takes precedence.
C. Incorrect. Informing the client about the conversation is not necessary and may further compromise the client's sense of privacy.
D. Incorrect. Submitting an incident report to the risk manager might be necessary, but the immediate action should be to stop the conversation and address the breach of confidentiality.

A. Applying the stockings before the client gets out of bed B. Turning the stockings inside out before applying them C. Asking the client to point their toes before applying the stockings D. Ensuring that creases in the stockings are on the front of the client's legs

Correct Answer is D

Explanation

The nurse must intervene if the AP leaves creases or folds in the stockings becausewrinkles and creasescreate uneven pressure points that can restrict blood flow and irritate the skin. Anti-embolic stockings are designed to provide smooth, graduated compression to promote venous return; any bunching or folding defeats this purpose and increases the risk of skin breakdown or thrombus formation.

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A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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Correct Answer is D

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