A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the

following actions is the nurse's priority?

2. A nurse is talking with a client who has

stage IV breast cancer.The nurse should

recognize which of the following statements by the client as a constructive use

of a defense mechanism?

3. A nurse is caring for a client who has immunosuppression and a continuous I.V

infusion. Which of the following actions

should the nurse take?

4. A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD).

Which of the following areas should the

nurse assess for manifestations of HD?

Assist with deep breathing and

coughing

"I told my doctor that I would

like to start a support group for

other women who are sick in my

community"

Monitor the client's mouth every

8 hr

C

(The nurse should assess the

infant's abdomen for distention

and visible peristalsis, which

are manifestations of HD)