The parents report that the child has a runny nose, fever, cough, and is irritable and constantly rubbing his ears. Which findings of the tympanic membrane would the nurse would expect to see
A. Bulging and red.
B. Clear and inverted.
C. Pearly gray.
D. Scarre
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One nurse strongly believes that all psychiatric medication is a form of chemical mind control. When the client’s wife asks about the efficacy of antidepressant medications, which of the following courses of action would be best for this nurse to take
A. Give an honest opinion of the treatment.
B. Explain that there are not enough current statistics about the efficacy of the treatment.
C. Provide a package insert for the wife to read.
D. Refer the client’s wife to another knowledgeable person for information about the treatment.
While caring for pregnant adolescents, the nurse should develop a plan of care that incorporates which health concern
Age of menarche.
B. Family and home life.
C. Healthy eating habits.
D. Level of emotional maturity.
The client with a lumbar laminectomy asks to be turned onto his side. What should the nurse do
A. Inform the client that because of his laminectomy, he may only lie supine.
B. Ask the client to help by using an overhead trapeze to turn himself.
C. Turn the client’s shoulders first, followed by his hips and legs.
D. Get another nurse to help log roll the client into position.
The nurse is instructing an unlicensed assistant on how to collect a urine specimen from an indwelling catheter. Which of the following statements indicates that the assistant understands the instructions
A. "I will empty the catheter drainage bag, have the client drink some water, and an hour later collect the urine that drains into the bag. "
B. "I will get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container. "
C. "I should collect urine from the catheter drainage bag at the end of the shift and place it in the specimen container. "
D. "I will disconnect the drainage tube from the catheter and let urine run from the catheter into the specimen container. "
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