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

following actions is the nurse's priority?

(ANS- Assist with deep breathing and coughing

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?

(ANS- "I told my doctor that I would like to start a support group for other women

who are sick in my community"

A nurse is caring for a client who has immunosuppression and a continuous IV

infusion. Which of the following actions should the nurse take?

(ANS- Monitor the client's mouth every 8 hr

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?

(ANSThe nurse should assess the infant's abdomen for distention and visible peristalsis,

which are manifestations of HD