A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?

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Question 1 of 5

A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?

Correct Answer: C

Rationale: The correct answer is C: Keep the cord dry until it falls off. This is the correct instruction for cord care as it helps prevent infection. Keeping the cord dry creates an environment that is less conducive to bacterial growth. Moisture can lead to bacterial growth and increase the risk of infection. By keeping the cord clean and dry, the parent can help promote healing and prevent complications. The other choices are incorrect: A: Contact provider if the cord still turns black - The cord naturally darkens and dries up as it heals, so it turning black is a normal part of the healing process. B: Clean the base of the cord with hydrogen peroxide daily - Hydrogen peroxide can be too harsh and may delay healing. Using a neutral pH cleanser is a better choice for cord care. D: The cord stump will fall off in five days - The cord typically falls off between 10-14 days after birth, so this instruction is inaccurate and may lead to unrealistic expectations.

Question 2 of 5

While interviewing a client, the client reports an intense fear of spiders, stating, I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one. The nurse documents this finding as which of the following?

Correct Answer: C

Rationale: The correct answer is C: Arachnophobia. This is because arachnophobia specifically refers to an intense fear of spiders, which aligns with the client's reported fear and physical reactions towards spiders. Algophobia (A) is a fear of pain, not spiders. Entomophobia (B) is a fear of insects in general, not limited to spiders. Cynophobia (D) is a fear of dogs, which is unrelated to the client's fear of spiders. Therefore, C is the most appropriate choice based on the client's specific fear and symptoms described.

Question 3 of 5

Which behavior best demonstrates aggression?

Correct Answer: A

Rationale: The correct answer is A because grabbing a tray from the meal cart after stomping away from the nurses' station demonstrates a physically aggressive behavior. This action involves not only expressing anger but also engaging in a potentially harmful act by forcefully taking something. Choice B does not demonstrate aggression but rather shows emotional distress through crying and seeking comfort by hugging a pillow. Choice C shows assertiveness by expressing feelings of anger verbally but does not involve any physical aggression. Choice D displays refusal to take medication but does not involve physical aggression towards others.

Question 4 of 5

A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching?

Correct Answer: C

Rationale: The correct answer is C: Keep the cord dry until it falls off. This is the correct instruction for cord care as it helps prevent infection. Keeping the cord dry creates an environment that is less conducive to bacterial growth. Moisture can lead to bacterial growth and increase the risk of infection. By keeping the cord clean and dry, the parent can help promote healing and prevent complications. The other choices are incorrect: A: Contact provider if the cord still turns black - The cord naturally darkens and dries up as it heals, so it turning black is a normal part of the healing process. B: Clean the base of the cord with hydrogen peroxide daily - Hydrogen peroxide can be too harsh and may delay healing. Using a neutral pH cleanser is a better choice for cord care. D: The cord stump will fall off in five days - The cord typically falls off between 10-14 days after birth, so this instruction is inaccurate and may lead to unrealistic expectations.

Question 5 of 5

What is a nursing intervention for a depressed client who reports reduced interest and pleasures?

Correct Answer: A

Rationale: Step 1: Encouraging participation in activities can help the client re-engage in pleasurable experiences, combating reduced interest. Step 2: Increasing activity levels can improve mood and motivation, addressing symptoms of depression. Step 3: This intervention aligns with evidence-based practice for managing depression. Summary: B: Collaborating with the prescriber is important but not a direct intervention for addressing reduced interest and pleasures in depression. C: Assisting the client to list positive self-characteristics can boost self-esteem but doesn't directly address reduced interest and pleasures. D: Scheduling rest periods may be helpful but doesn't specifically target the core symptom of reduced interest and pleasures.

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