A．Birth of a 7 lb (3,175g) infant.
B．Prolonged first stage of labor.
C．Pregnancy-induced hypertension (PIH).
D．Birth of twins.

A．Remind him that he retired from his job 10 years ago.
B．Tell him that she'll accompany him for a short walk outdoors.
C．Divert his attention toward the dining room where lunch is being served.
D．Tell him that he does not have to go to work today.

A．Contact the authorities.
B．Ensure the client's safety.
C．Identify a support person.
D．Photograph the client's injuries.

A．Discuss cultural stereotypes regarding thinness and attractiveness.
B．Explore the reasons why the client doesn't eat.
C．Teach the client about nutrition, calories, and a balanced diet.
D．Establish a trusting relationship with the client.

A．High-calorie, restricted protein, low-sodium diet.
B．Bland, low-protein, low-sodium diet.
C．Well-balanced normal nutrients, low-sodium diet.
D．High-protein, high-calorie, high-potassium diet.

A．Contact with fecal material.
B．A blood splash into the nurse's eyes.
C．Disposing of syringes and needles without recapping.
D．Touching the client's arm with ungloved hands while taking blood pressure.

A．Reposition the client to her left side.
B．Immediately take the client's blood pressure and call the physician.
C．Start oxygen at 6 L via nasal cannula.
D．Increase the IV fluids to correct the client's dehydration.

A．Heart rate of 150 bpm.
B．Twitching in the extremities.
C．Red rash on the trunk.
D．Swollen and painful knee joints.

A．Supporting the mother's ability to successfully feed and care for her neonate.
B．Providing group discussions on infant care.
C．Monitoring the normal progression of lochia.
D．Involving the family in the teaching.

A．"Tolerance is an allergic reaction to a medication. "
B．"Tolerance is an ability to take the same drug for extended periods of time. "
C．"Tolerance is an increased response to a medication. "
D．"Tolerance is a diminished response to a drug so that more is required to reach the same effect. "