EAQ #4 NURS 220
Which statement made by the nurse indicates that the client interview is coming to a close?
1. "I have just one more question."
A nurse is assessing a newborn born after 32 weeks' gestation. Which clinical finding does the nurse anticipate?
1. Barely visible areola and nipple.
What should the nurse suggest when parents ask what to do about their preschooler's stuttering?
2. Ignore the hesitancy and try to prevent situations that increase stuttering.
A nurse is developing a teaching plan for a client with scleroderma. What should the nurse include about skin care?
2. Keep skin lubricated with lotion.
A nurse is assessing a primigravida who was admitted in early labor. She is at 41-weeks' gestation. Her contractions are irregular and her cervix is dilated 3 cm. The fetal head is at station 0 and the fetal heart rate tracing is reactive. How can the nurse help the client facilitate labor?
2. Take a walk around the unit with her.
What should the nurse recommend to a new mother when teaching her about the care of the umbilical cord area?
3. Leave the area untouched or clean with soap and water; then pat it dry.
After a mild brain attack (cerebrovascular accident, CVA) a client has difficulty grasping objects with the dominant hand. To increase hand mobility and strength, what specific range-of-motion exercise should the nurse teach the client?
3. Opposition
A client with a diagnosis of polyarteritis nodosa asks the nurse for information about this disorder. What information should the nurse include in the response?
3. The disorder is considered one of hypersensitivity, and the exact cause in unknown.
What should the nurse teach the parents of an infant about the use of car seats?
3. The infant should be restrained properly in a federally approved car safety seat.
On which principle should the nurse's role be based in the maintenance or promotion of the health of older adults?
3. There is a strong correlation between successful retirement and good health.
A client tells a nurse, "I have been having trouble sleeping and feel wide awake as soon as I get into bed." Which strategies should the nurse teach the client that will promote sleep? Select all that apply.
3. leaving the bedroom when unable to sleep. 5. Exercising in the afternoon rather than in the evening.
A nurse reviews the prescribed treatment with the parents of an infant born with bilateral clubfeet. Which parental statement indicates to the nurse that further education is required?
4. "We'll have to have the baby fitted with prosthetic devices before the baby is able to walk."