The nurse is identifying tertiary prevention strategies to implement for this client.

Exhibits

Select the three actions the nurse should take.

Insist that the client explain the reason for their bruises.

Inform the client that their child is being abusive toward them.

Report suspected maltreatment to the appropriate agency.

Confront the client's child about the client's injuries.

Ask the client how the fracture occurred.

Conduct the interview with the client privately.

Answer and Explanation

Correct Answer : C,E,F

In a situation where maltreatment is suspected, it is important for the nurse to report their concerns to the appropriate agency. The nurse should also ask the client how the fracture occurred and conduct the interview with the client privately, without the presence of their child, to gather more information and assess the situation.

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Correct Answer is C

Explanation

Palliative care is an approach to care that focuses on improving the quality of life for individuals with serious or life-threatening illnesses. It aims to provide relief from pain, symptoms, and stress, rather than focusing solely on curing the underlying disease. Palliative care can be provided alongside curative treatments and is not limited to clients with a specific life expectancy.

It does not involve the restriction of nutritional support but rather aims to address the overall physical, emotional, and spiritual needs of the client.

While palliative care may be provided to clients with terminal illnesses, it is not exclusive to them, as it can be initiated at any stage of a serious illness.

A. Apply pressure to the lacrimal punctum after administering the drops. B. Position the child side-lying on the bed before administering the drops. C. Wipe from the outer to the inner canthus after administering the drops. D. Flush the eye with normal saline solution before administering the drops.

Correct Answer is A

Explanation

When administering eye drops to a child, the nurse should apply gentle pressure to the lacrimal punctum (the small opening in the inner corner of the eye) after administering the drops. This can help prevent the medication from draining into the tear duct and being absorbed into the bloodstream, which can reduce systemic side eﬀects.

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The nurse is identifying tertiary prevention strategies to implement for this client. Exhibits Select the three actions the nurse should take.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about palliative care to a client who has cancer. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

A nurse is preparing to administer eye drops to a child. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The caregiver reports the client has difficulty sleeping at night and wanders throughout the house. Which of the following interventions should the nurse recommend?

A nurse in an acute mental-health facility is caring for an adolescent who is exhibiting destructive behavior. Which of the following actions should the nurse take after applying physical restraints to the client?

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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?

A nurse is reinforcing teaching with a new parent about bathing her newborn. Which of the following statements should the nurse include?

A nurse on a mental health unit observes a client yelling at another client. Which of the following actions should the nurse take first?

A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is eﬀective?

The nurse is identifying tertiary prevention strategies to implement for this client.

Exhibits

Select the three actions the nurse should take.