EAQ study.

A client with Parkinson disease complains about a problem with elimination. The nurse should encourage the client to

Increase residue in the diet

In what situation should a nurse anticipate that a client will experience a phobic reaction?

When coming into contact with the feared object

A toddler has frequent temper tantrums. The parents ask a nurse how to limit this acting-out behavior. What should the nurse recommend?

ignore the tantrum whenever possible

A nurse, planning care for a client who is an alcoholic, knows that the most serious life-threatening effects of alcohol withdrawal usually begin after a specific time interval. How many hours after the last drink do they occur?

24 to 72

What type of respirations does the nurse expect to identify in a healthy newborn?

Abdominal and irregular

A 9-year-old child with chronic kidney disease is undergoing peritoneal dialysis. For which associated complication should the nurse monitor the child?

Cloudy return dialysate

A nurse plans to weigh a newborn. What is the most appropriate way to obtain the newborn's weight?

Correct1 Placing the naked infant on the scale

The nurse is creating a dietary plan for a client with cholecystitis who has been placed on a modified diet. What would be appropriate to include in the dietary plan?

Decreased fat intake to avoid stimulation of the cholecystokinin mechanism for bile release

A nurse is caring for a client with Addison disease. Which information should the nurse include in a teaching plan as a means of encouraging this client to modify dietary intake?

Extra salt is needed to replace the amount being lost caused by lack of sufficient aldosterone to conserve sodium.

Using the five-digit system, determine the obstetric history in this situation: The client is 38 weeks into her fourth pregnancy. Her third pregnancy, a twin gestation, ended at 32 weeks with a live birth, her second pregnancy ended at 38 weeks with a live birth, and her first pregnancy ended at 18 weeks.

G4, T1, P1, A1, L3

A health care provider refers a 52-year-old man to the mental health clinic. The history reveals that the man lost his wife to colon cancer 6 months ago and that since that time he has seen his health care provider seven times with the concern that he has colon cancer. All tests have had negative results. Recently the client stopped seeing friends, dropped his hobbies, and stayed home to rest. Which disorder should the nurse identify as consistent with the client's preoccupation with the fear of having a serious disease?

Hypochondriac disorder

A nurse is caring for an anemic, malnourished 11-year-old child who has celiac disease. The health team develops a plan to help the parents correct their child's nutritional problems. What should the parents be encouraged to do?

Provide foods high in folic acid, iron, and vitamin B12 to correct the anemia

A client with Laënnec cirrhosis has ascites and jaundice and is confused. What is the nursing priority when caring for this client?

Providing for the client's physical safety

A client is admitted to the ambulatory surgery unit for a liver biopsy. The nurse recalls that which assessment finding will be a cause for the biopsy to be postponed?

Signs of bruising

A 4-year-old girl decided to surprise her mother by making hot chocolate and spills hot water on her legs, resulting in partial-thickness burns. Because of the child's age, the nurse's discharge instructions to the parents should emphasize the importance of:

Teaching their child basic safety rules

When discussing a scheduled liver biopsy with a client, the nurse explains that for several hours after the biopsy the client will have to remain in what position?

The right side-lying position with pillows placed under the costal margin

A nurse is discussing discharge instructions with a client who had a coronary artery bypass graft (CABG). The client states, "My spouse is afraid to have sex with me. When will it be safe to have sex again?" Which is the most appropriate response by the nurse?

You can resume sexual activity as soon as you can climb one flight of stairs without fatigue or discomfort.

A recovering alcoholic joins Alcoholics Anonymous (AA) to help maintain sobriety. What type of group is AA?

Self-help group

A client with a history of ulcerative colitis is admitted to the hospital because of severe rectal bleeding. The client appears to be an angry, demanding person. One day the unlicensed assistive personnel (UAP) tells the nurse, "I've had it with that client's demands. I'm not going in that room again." The nurse's best response to this statement is:

"The client is frightened. Let's think about the best approach we can take."

A psychologist has been a client on a mental health unit for 3 days. The client has questioned the authority of the treatment team, advised other clients that their treatment plans are wrong, and been disruptive in group therapy. What is the most appropriate nursing intervention?

Accepting that the client is unable to control this behavior and setting appropriate limits

A parent who has been physically abusing a 7-year-old son is undergoing treatment for anger management. What statement by the client indicates the development of some insight into the abusive behavior?

If I feel upset at my son, I'm going to go into the bedroom and punch a pillow."

A nurse is caring for an infant with exstrophy of the bladder. What other defect associated with this condition does the nurse expect?

Correct3 Pubic bone malformation

A nurse is caring for a client who just had a gastrectomy. What should the nurse emphasize when teaching the client how to avoid dumping syndrome?

Eat small meals with low carbohydrate and moderate fat content

A 4-week-old infant is found to have hypertrophic pyloric stenosis (HPS) and is scheduled for surgery. Oral feedings are usually initiated a few hours after surgery. What does the nurse expect the practitioner to prescribe initially?

Electrolyte solution

A 4-month-old infant is to receive the second diphtheria/tetanus/pertussis (DTaP) immunization. The nurse reviews the infant's medical history before administering the vaccine. What information in the infant's history will influence the decision whether to administer the vaccine?

High fever after the first dose

After 4 days on the inpatient psychiatric unit a client on suicidal precautions tells the nurse, "Hey, look! I was feeling pretty depressed for a while, but I'm certainly not going to kill myself." What is the nurse's best response to this statement?

We should talk some more about this.

A client who is considering sclerotherapy asks the nurse to explain what causes varicose veins. The nurse's best response is, "They are caused by:

incompetent valves of superficial veins

The nurse is teaching crutch-walking to a 12-year-old child. What does the child do that indicates the need for more teaching?

looks down when placing the crutches