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Which of the following denotes the primary reason that the nurse inserts an indwelling urinary (Foley) catheter in a child with severe burns

A. Monitoring for a urinary tract infection.
B. Measuring urine output accurately.
C. Preventing urinary retention.
D. Assessing urine specific gravity.

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Mrs. Brown, who is breast-feeding, asks the nurse if she should supplement breast- feeding with formula feeding. The nurse bases the response on which of the following

A. Formula feeding should be avoided to prevent interfering with the breast milk supply.
B. Primarily, water supplements should be used to prevent jaundice.
C. Formula supplements can provide nutrients not found in breast milk.
D. More vigorous sucking is needed for a bottle-feeding, so supplements should be avoide

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An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse’s best initial response

A. "Can you tell me what happened"
B. "I believe you; you were right to tell me. "
C. "Have you told your mother and father about this"
D. "Who else have you told about this"

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A multigravid client in active labor is about to deliver. The nurse has no help immediately available. What should the nurse do first

A. Prepare a clean area on which to deliver the neonate.
B. Lower the head of the bed to a flat position.
C. Have the client push with a contraction.
D. Ask the client to take a deep breath and hold it.

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A woman seeking help at a community mental health center complains of fatigue, sensitivity to criticism, decreased libido, and feeling self-conscious. She also has aches and pains. A nursing diagnosis for this client might include

A. Delayed growth and development.
B. Ineffective role performance.
C. Posttrauma syndrome.
D. Chronic low self-esteem.

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Which of the following denotes the primary reason that the nurse inserts an indwelling urinary (Foley) catheter in a child with severe burns

A. Monitoring for a urinary tract infection. B. Measuring urine output accurately. C. Preventing urinary retention. D. Assessing urine specific gravity.

Mrs. Brown, who is breast-feeding, asks the nurse if she should supplement breast- feeding with formula feeding. The nurse bases the response on which of the following

An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse’s best initial response

A multigravid client in active labor is about to deliver. The nurse has no help immediately available. What should the nurse do first

A woman seeking help at a community mental health center complains of fatigue, sensitivity to criticism, decreased libido, and feeling self-conscious. She also has aches and pains. A nursing diagnosis for this client might include

A. Monitoring for a urinary tract infection.
B. Measuring urine output accurately.
C. Preventing urinary retention.
D. Assessing urine specific gravity.