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NEW QUESTION 38
A client has been instructed in how to take her nitroglycerin tablets. The nurse giving her instructions knows the client understands the information when she tells her:
  • A. "I should contact my physician if I have headaches after I take this medicine."
  • B. "I should take these with water but not with milk."
  • C. "I should keep the tablets in the refrigerator."
  • D. "I should call the doctor if three doses of the medicine do not relieve my pain."
Answer: D
Explanation:
Section: Questions Set E
Explanation:
(A) Headaches may occur after taking nitroglycerin because of vasodilation. (B) The tablets do not need to be refrigerated. The client should carry them with her. (C) The client should contact the physician if repeated doses of nitroglycerin do not relieve the discomfort. (D) Nitroglycerin tablets should be dissolved under the tongue, not swallowed.

NEW QUESTION 39
A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitalization, primary nurses were assigned to initiate all infant feedings. The infant's parents question why they cannot feed their own child. Which of the following responses would be most appropriate by the nurse?
  • A. Primary nurses will ensure privacy.
  • B. By assigning the same nurses to the child, the nurses can begin to learn the infant's cues and feeding behaviors.
  • C. The same nurses will prevent parental fatigue and frustration.
  • D. The same nurses will prevent infant fatigue and frustration.
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Consistent primary care nurses can better interpret infant cues and note feeding behaviors. (B) In nonorganic failure to thrive the parent-infant dyad has already experienced difficulties in the relationship.
These parents may already feel dissatisfied and frustrated. The primary nurse would be unable to prevent this. (C) Assigning a primary nurse does not ensure that infant fatigue and frustration will not occur or can be prevented. (D) Providing privacy does not ensure a change in feeding behavior.

NEW QUESTION 40
A registered nurse is trying to determine the appropriate care that she should provide for her obstetrical clients. Which of the following documents is considered the legal standard of practice?
  • A. AWHONN Standards for the Nursing Care of Women and Newborns
  • B. State nursing practice act
  • C. American Nurses' Association Standards of Maternal- Child Health Nursing
  • D. International Council of Nurses' Code
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) The state nursing practice act determines the standard of care for the professional nurse. (B) AWHONN Standards are published as recommendations and guidelines for maternal-newborn nursing. (C) American Nurses' Association Standards are published as recommendations and guidelines for maternalchild health nursing. (D) The International Council of Nurses' Code emphasizes the nurse's obligations to the client rather than to the physician. It is published as recommendations and guidelines by the international organization for professional nursing.

NEW QUESTION 41
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