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Question 1 of 5

The nurse assists with the delivery of a stillborn infant who is gestationally small with a malformed cranium. To promote the parents' grieving process, which nursing action is most appropriate?

Correct Answer: A

Rationale: Allowing parents to see and touch the stillborn infant facilitates grieving by making the loss tangible and fostering closure.

Question 2 of 5

At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.

Correct Answer: A,F

Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.

Question 3 of 5

A 6-year-old child has just had placement of bilateral myringotomy tubes. As the parents prepare for discharge, the nurse correctly includes which instruction in the child's discharge plan?

Correct Answer: C

Rationale: Earplugs prevent water entry during swimming or showering, reducing the risk of infection in ears with myringotomy tubes.

Question 4 of 5

A client with a recent stroke has dysphagia. Which nursing action promotes safe swallowing?

Correct Answer: B

Rationale: An upright position at 90 degrees reduces aspiration risk in clients with dysphagia.

Question 5 of 5

The nurse teaches the client with erectile dysfunction about the use of alprostadil via subcutaneous penile injection. Which statement indicates the client needs further teaching?

Correct Answer: B

Rationale: A. The client is correct in using sterile technique for the injection. B. The nurse should correct the statement about an erection not lasting long. Alprostadil (Caverject) injection therapy has the potential of producing a prolonged erection. C. Alprostadil will begin to produce the desired effect within 30 minutes. D. Dizziness is a side effect of alprostadil and should be reported.

Similar Questions

The noon blood glucose level of a client with type 1 diabetes mellitus is 250 mg/dL. The physician orders a sliding-scale insulin regimen based on the client's blood glucose level. The order reads, 'Give regular insulin using the following scale: 0 to 140 mg/dL: None; 141 to 200 mg/dL: 2 units; 201 to 250 mg/dL: 4 units; 251 to 300 mg/dL: 6 units; 301 to 350 mg/dL: 8 units; 351 to 400 mg/dL: 10 units; Over 400 mg/dL: Notify physician.' How many units of insulin should the nurse plan to give?
The nurse is preparing to perform a sterile dressing change. Which action maintains the sterile field?
After being off for the holiday, a nurse returns to work and attempts to log on to the computer to document care for a client. The nurse tries to log on, but both times the computer will not grant access. The nurse rechecks the password and finds it correct. Which action by the nurse is most appropriate in this circumstance?
When monitoring the treatment response of a client with diabetes insipidus, which component of the urinalysis is most important for the nurse to assess?
The nurse is caring for a client with a pressure ulcer. Which dressing is most appropriate for a stage 2 ulcer?

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