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Author Archives: Anonymous

A toddler requires a painful procedure. The nurse wants to r…

A toddler requires a painful procedure. The nurse wants to reduce anxiety and improve cooperation. Which approach is most appropriate?

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A newborn with respiratory distress syndrome worsens over th…

A newborn with respiratory distress syndrome worsens over the first 24 hours. Which intervention addresses the underlying cause?

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A nurse assesses a newborn’s abdomen and notes it is round,…

A nurse assesses a newborn’s abdomen and notes it is round, soft, and moves with respiration. What is the correct interpretation?

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A newborn’s bilirubin level rises rapidly within the first 2…

A newborn’s bilirubin level rises rapidly within the first 24 hours. What is the nurse’s priority interpretation?

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A nurse assesses a newborn with a fluctuant scalp mass that…

A nurse assesses a newborn with a fluctuant scalp mass that does not cross sutures and appears 48 hours after birth. What is the priority nursing implication?

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A newborn delivered via vacuum extraction develops a diffuse…

A newborn delivered via vacuum extraction develops a diffuse, boggy scalp swelling that crosses suture lines and increases in size over several hours. The infant becomes tachycardic and pale. Which action is the nurse’s priority?

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A client with avoidant personality disorder says after a gro…

A client with avoidant personality disorder says after a group session, “I said one stupid thing. Everyone probably thinks I’m embarrassing.” Which nursing response is best?

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A 15-year-old client with newly diagnosed anorexia nervosa l…

A 15-year-old client with newly diagnosed anorexia nervosa lives with both parents, who want to participate in treatment. Which intervention should the nurse anticipate as most beneficial?

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A client has hallucinations during a period of severe depres…

A client has hallucinations during a period of severe depression and later continues to show psychotic symptoms even when mood symptoms lessen. Which nursing understanding is most accurate?

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The nurse is working with a client undergoing treatment for…

The nurse is working with a client undergoing treatment for bulimia nervosa who has been asked to use a self-monitoring diary. Which explanation by the nurse best supports the therapeutic purpose of self-monitoring?

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