An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?

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Question 1 of 5

An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?

Correct Answer: C

Rationale: Exploring self-perception addresses potential body image concerns first.

Question 2 of 5

A nurse from the surgical department is reassigned to the pediatric unit. The charge nurse should recognize that the child at highest risk for cardiac arrest and is the least likely to be assigned to this nurse is which child?

Correct Answer: C

Rationale: Prolonged hypoxemia poses the highest cardiac arrest risk, requiring experienced care.

Question 3 of 5

The initial response by the nurse to a delusional client who refuses to eat because of a belief that the food is poisoned is

Correct Answer: A

Rationale: Reflecting the delusion encourages discussion without confrontation.

Question 4 of 5

The nurse is caring for a 10 year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is

Correct Answer: A

Rationale: Urine output of 0.5-1 ml/kg/hr (30 ml/hr for a 10-year-old) indicates adequate hydration.

Question 5 of 5

What is the purpose of using a warm compress on a patient's sore muscles?

Correct Answer: C

Rationale: A warm compress increases blood flow and relaxes sore muscles by dilating blood vessels, delivering oxygen and nutrients to the area, and easing tension. This promotes healing and reduces stiffness, common in patients with muscle soreness from immobility or injury. Inducing sleep might be a byproduct of relaxation, but it's not the primary aim. Cooling the area requires a cold compress, not warm, and is used for different purposes like reducing swelling. Minimizing repositioning isn't relevant warmth targets muscle relief, not positioning needs. Nurses apply this intervention to enhance comfort and support recovery, leveraging heat's physiological benefits effectively.

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