• A nurse in an emergency department completes an assessment on an adolescent client that has conduct

disorder. The client threatenedsuicide to teacher at school. Which of the following statementsshould the nurse

include in the assessment?

• Tell me about your siblings

• Tell me what kind of music you like

• Tell me how often do you drink alcohol

• Tell me about yourschool schedule

• *A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to

intervene?

• Holding the newborn in an en face position

• Asking the father to change the newborn's diaper

• Requesting the nurse take the newborn

nursery so she can restd) Viewing the

newborn’s actions to be uncooperative

• A nurse is caring for client who istaking levothyroxin. Which of the following findings should indicate that the

medication is effective? a) Weight loss (this drug acts as T4 and will normalize the effects of

hypothyroidism)

• Decreased blood pressure

• Absence of seizures

• Decrease inflammation

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

the teaching?

• Contact provider if the cord still turns black (it’s going to turn black)

• Clean the base of the cord with hydrogen peroxide daily (clean

with neutral pH cleanser)c) Keep the cord dry until it falls of f

(cord should be kept clean and dry to prevent infection)

d) The cord stump will fall off in five days (cord falls off in 10-14 days)

• A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following clientshould the nurse

identify asthe

priority?

• A client that has massive head trauma