Question

A. "1 have problems with diarhea B. I have difficulty faling asleep." C. I have diminished sexual function." D. 1 often feel jtery. 239. A client who is former actress enters the day room wearing s sheer nightgown, high heels, numerous bracelets, bright red lipstick and heavily roughed cheeks. Which nursing action is best in response to the client's attire? A. Gently remind her that she is no longer on stage B. Directly assist client to her room for appropriate apparel C. Quietly point out to her the dress of other dlients on the unit D. Tactfully explain appropriate clothing for the hospital 240. Which of the following times is a depressed client at highest risk for attempting suicide? A. Immediately after admission, during one to one observation B. 7 to 14 days after initiation of antidepressant medication and psychotherapy C. Following an angry outburst with family D. When the client is removed from the security room 241. The nurse provides discharge teaching to the parents of a 15 month old child with Kawasaki disease. The child has receive immunoglobulin therapy. Which instruction would be appropriate? A. High dose of aspirin will be continued for some time. B. Complete recovery is expected within several days C. Active range of motion exercise should be done frequently D. The measles, mumps and rubella vaccine should be delayed 242. A 10 year old client is recovering from a splecnectomy following a traumatic injury. The clients laboratory results ahemoglobin of 9 gidl and a hematocrit of 28 percent. The best approach for the nurse to use it to A. Limit milk and milk products B. Encourage bed activities and games C. Plan nursing care around lengthy rest periods D. promote a diet rich in iron 243. The nurse is planning care for a 14 year old client returning from scoliosis corrective surgery. Which of the following actions should receive priority in the plan? A. Antibiotic therapy for 10 days B. Teach client isometric exercises for legs C. Assess movement and sensation of extremities D. Assist to stand up at bedside within first 24 hours

Answer 1

239.Dressing is an attire which should cover oneself and also should make a person approachable with respect and dignity in public place.So lack of this can create an environment of mess.Hospital is a place where dress code is essential for everyone including patients because all the sick persons coming to hospital have different problems. Here the client cannot be said directly which can trigger anger,directing to apparel room is not accurate,pointing out for dress with others can be a gor of criticism

Ans:Tactfully explain the appropriate clothing for the hospital

240.A depressed patient on compulsions can visit or get admitted for medical help.These patient after admission the antidepressants are started which usually starts to work in about 7 to 14 days and this is the time when they are very high risk for suicidal thoughts because of medication and slowly settling down.

Angry patient can be violent at first ,restriction also triggers anger

Ans:7 to 14 days after initiation of antidepressant medication and psychotherapy

241.Kawasaki disease affect the blood vessels. In order to preventbsny cardiac complications patient are supposed to continue on low dose aspirin therapy as per order.Exercise are not recommended.MMR is decided to be given as per the patient status . Live vaccines can lead to major adverse events at this time.

Ans:The mumps ,measles, rubella vaccines should be delayed

242.The hemoglobin should be about 11 to 13g/dL in children and decreased level in it should be supported by iron rich diet.Milk and milk products should be avoided as ot can interfere the iron absorption. Exercise and rest can be normal

Ans:promote a diet rich in iron