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

nurse's priority? - ✔✔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? - ✔✔"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? - ✔✔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? - ✔✔C

The nurse should assess the infant's abdomen for distention and visible peristalsis, which are

manifestations of HD

A nurse at a mental health clinic is caring for four clients. The nurse should recognize the following

clients is using dissociation as a defense mechanism? - ✔✔A client who was abused as a child describes

the abuse as if it happened to someone else

A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse

should instruct the client to monitor for which of the following findings as a manifestation of

hypoglycemia? - ✔✔irritability

A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that

which of the following clients is effectively using sublimation as a defense mechanism? - ✔✔A client

who channels their energy into a new hobby following the loss of their job