The nurse provides care for a client diagnosed with acute pancreatitis. The nurse intervenes
if the client makes which statement? (Select all that apply.)
1. “I may need to take antibiotics.”
2.
3.
4.
5. “I should stop drinking alcohol.”
6. “I cannot have anything to eat or drink.”
The nurse in the day care center observes a toddler squatting and panting after chasing a
ball. Which action does the nurse take first?
1. Remove the child from the playground and encourage rest.
2.
3. Ask the child about a sore throat or achy joints.
4. Restrict the child from playing ball.
The nurse cares for clients in the outpatient clinic. In which order will the nurse return the
messages? Correct Answer
• 1. The "soft spot" on the head of the 4-day-old feels slightly elevated when asleep.
• 2. The circumcision site of the 3-day-old is slightly swollen.
• 3. The umbilical cord of the 5-day-old is soft and draining exudate.
• 4. When bed is bumped, a 2-day-old rapidly extends the extremities.
The parents of a child diagnosed with hemophilia ask the nurse to explain the cause of the
disease. Which response by the nurse is best?
1. "The father transmits the gene to the son."
2. "Both the mother and the father carry a recessive trait."
3. "The mother transmits the gene to her son."
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