The nurse is working with a 16-year-old client, G1,P0, with LMP approximately 5 months ago.  The client is surprised they are pregnant.  Upon examination they discover that they have Chlamydia.  They are refusing to be treated because they state that they have no symptoms and don’t want to harm the baby.  What is the most appropriate intervention?

Your patient in the heart and vascular unit in the hospital was just placed on a low sodium diet due to his recent heart failure exacerbation.  You realize your patient needs more teaching regarding a sodium restricted diet when his dinner tray arrives with:

A nurse is assessing a client who is experiencing feelings of sadness because of the recent death of a beloved pet. The client’s appetite, sleep patterns, and daily routine have not changed. How should the nurse interpret the client’s behaviors?

The nurse administers erythromycin eye ointment (0.5%) to the eyes of a newborn infant and the mother asks the nurse why this is performed. The nurse explains to the mother that this is routinely done to:

A nurse is developing a care plan for a patient to support a healthy lifestyle and healthy adaptation to stress.  Which of the following are self-care behaviors to help promote a healthy lifestyle: Select all that apply.   

A nurse is performing a postpartum assessment. Select all the assessments that are important in the postpartum period?  Select all that apply.

A Vietnamese-speaking client delivered her first baby via emergency cesarean section 24 hours ago. She appears anxious, nods frequently, but does not ask questions. Her husband, who speaks some English, states, “She understands everything.” The client’s pain is 6/10, and she has not attempted breastfeeding despite previous interest.What is the nurse’s priority action?

What should the nurse do first when preparing to do a physical assessment on a sleeping 1 month old baby?

A 16 year old primigravida has given birth to a healthy baby. A potential postpartum nursing diagnosis for this client is “Risk for altered parenting related to knowledge deficit of newborn care.”  In planning for the client’s discharge, an appropriate nursing intervention includes: 

During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops.  On assessment, you find the uterus to be firm, midline, and at the level of the umbilicus.  Which of the following findings should the nurse interpret this data as being?