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The nurse is preparing a gastric lavage for a comatose victim of the car accident. Which of the following positions would be most appropriate for the client during this procedure

A. Trendelenburg’s.
B. Lithotomy.
C. Lateral.
D. Supin

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The nurse is assessing a client with an ileal conduit. She notes that the client’s urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these data

A. These findings are normal for the client.
B. There is irritation of the stoma.
C. The client is developing an infection of the urinary tract.
D. The mucus is caused by elevated levels of glucose in the urin

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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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The nurse is preparing a gastric lavage for a comatose victim of the car accident. Which of the following positions would be most appropriate for the client during this procedure

A. Trendelenburg’s. B. Lithotomy. C. Lateral. D. Supin

The nurse is assessing a client with an ileal conduit. She notes that the client’s urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these data

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

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. Trendelenburg’s.
B. Lithotomy.
C. Lateral.
D. Supin