A nurse must obtain the blood pressure of a client in airborne isolation. Which method is best to prevent transmission of infection to other clients by the equipment?

A nurse is reviewing principles of good body mechanics with a student nurse. Which of the following techniques should be emphasized?

A mother of a neonate receiving phototherapy asks why her child has developed loose stools. Which response by the nurse would be accurate?

Three days after discharge, a client who is bottle feeding her neonate calls the postpartum floor and asks the nurse what she can do for breast engorgement. What is the best response by the nurse?

A maternity client tells the nurse her husband is behaving in strange ways since she became pregnant. He’s having morning sickness, has put on weight, complains of intestinal pains, and is acting like he’s pregnant. The nurse interprets this as indicating which of the following?

A breastfeeding client asks how she can do breast self-examination (BSE) while nursing. Which response would be the most accurate?

Which statement made by a client about her neonate indicates the need for further teaching?

An unmarried client delivers a premature neonate. Which intervention would be included in her care plan?

After delivering a neonate with a cleft palate and cleft lip, a client has minimal contact with her neonate. She asks the nurse to do most of the neonate’s care. Which nursing diagnosis is appropriate?

A student nurse (SN) witnesses a registered nurse (RN) performing a procedure on a client without obtaining informed consent for the procedure. The SN recognizes that the RN is guilty of committing which action?

To prevent circulatory impairment in an arm when applying an elasticbandage, which method is best?

A client complains of an inability to sleep while on the medical unit. Which intervention should the nurse perform first?

In order to assess the function of a client’s optic nerve, the nurse would be required to use which equipment?

A nurse is caring for a client following surgery in the postanesthesia care unit. The nurse observes that the client is gagging on his airway and about to vomit. In which position would the nurse place the client?

Which nursing intervention would best help prevent bladder infections for a client with an indwelling urinary catheter?

A surgical client newly diagnosed with cancer tells a nurse she knows the laboratory made a mistake about her diagnosis. Which reaction is this client most likely experiencing?

Six months after the death of her infant son, a client is suspected of dysfunctional grieving. Which assessment would the nurse expect to find in this client?

A nurse notices a hospitalized client has been crying. Which response is most therapeutic?

A nurse gives the wrong medication to a client. The risk manager for the unit will expect to receive which communication?

A nurse wants to use a waist restraint for a client who wanders at night. Which factor should be considered before applying the restraint?

A pregnant client complains of leg cramps that wake her from sleep. What is the best instruction by the nurse?

The physician’s order reads 2 grams of cephalexin (Keflex) by mouth daily in equally divided doses of 500 mg each. The nurse would administer this medication at which frequency?

A client in labor is receiving oxytocin (Pitocin) to augment her labor. A nurse notes a change in her contraction pattern. The fetal heart monitor indicates that her contractions are lasting 2 minutes, with a notable rise in the baseline. Based on this finding, which action is the priority?

At 6 cm of dilation, the client in labor receives a lumbar epidural for pain control. Which nursing diagnosis is most appropriate?

A client who just gave birth is concerned about her neonate’s Apgar scores of 7 and 8. She says she’s been told scores lower than 9 are associated with learning difficulties in later life. Which response is best?

A prenatal client tells the nurse she can’t believe she has such mixed feelings about being pregnant. She tried for 10 years to become pregnant and now she feels guilty for her conflicting reactions. Which response is best?

A client is being treated for premature labor with ritodrine (Yutopar). After receiving this medication for 12 hours, her blood pressure is slightly elevated, her chest is clear, and her pulse is 120 beats/minute. She complains of a little nausea, and the fetal heart rate is 145 beats/minute. Which intervention is correct?

A prenatal client, age 13, asks about getting fat while she’s pregnant. A nurse tells her she needs to gain enough weight to be in the upper portions of her recommended weight due to her age to prevent which of the following?

A client at 36 weeks’ gestation chokes on her food while eating at a restaurant. Which statement is correct about performing the Heimlich maneuver on a pregnant client?

When assessing a client who just delivered a neonate, a nurse finds the following: blood pressure, 110/70 mm Hg; pulse, 60 beats/minute; respirations, 16 breaths/minute; lochia, moderate rubra; fundus, above the umbilicus to the right; and negative Homans’ sign. What is the most appropriate nursing intervention?