Question

361. A client who is 20 weeks’ gestation is concerned about how to tell her 3 year old son about her pregnancy. Which statement by the nurse would be best when counseling this client? A. “If he is not pleased with the news of the new baby, you should tell him that you are disappointed in him.” B. “Tell him that the he is going to have a lot of responsibilities in helping care for the baby.” C. “Try to provide extra attention to him and include him in plans for the baby.” D. “Tell him that he will have to stay with his grandparents when the baby is born because you will be busy the baby.”

362. When assessing the chest tube drainage system of a client, the nurse observes a slight rise and fall in the water level in the water seal. The nurse should take which action? A. Notify the physician immediately B. Have the client cough C. Continue to monitor the system D. Reposition the chest tube

456. The nurse understands that which are risk factor(s) for the development of breast cancer? Select all that apply. A. Age B. Obesity C. Multiparity D. Family history E. Early menarche F. Early menopause

464. The nurse is caring for a client in the post procedure period following cardiac catherization. Which priority assessment should the nurse conduct on a routine basis? A. Skin turgor B. Peripheral pulses C. Intake and output D. Neurological checks

466. The nurse is caring for a client who has been diagnosed with secondary cataracts. The nurse understands that which disease(s) can cause secondary cataracts? Select all that apply. A. Heart failure B. Hyotension C. Severe myopia D. Maternal rubella E. Diabetes mellitus F. Ultraviolet light exposure

Answer 1

361, b, Tell him that he is going to have a lot of responsibilities in helping care of the baby.
Age between 2 to 4 children they have more attachment to their parents and have more jealous sharing care to the newborn. Include children in all newborn activities and encourage to taking care of him and provide more responsibility with love and care.
362, c, Continue to monitor the system
The water in the water-seal chamber must rise while inhale and fall while exhale, it indicates the chest tube is perfect in place and patent.
456,a, age, b, family history, d, early menarche
Most of the breast cancer diagnosed after 50years, early menstrual cycle before 12 years and late menopause after 55 years., personal history of cancer, family history of breast cancer for mother, sister. Obesity is not the risk factor for breast cancer because they will have more fatty tissue in the breast than connective tissue so there is only less chance for breast cancer.
464,b, peripheral pulses
Assess the patient after cardiac catheterization for a potential complication like tachycardia, hypotension, less peripheral perfusion, high blood pressure, agitation, etc.
466, e, E, diabetic Mellitus, f, ultraviolet light exposure
Secondary cataracts associated with diabetes, exposure to toxic substances, radiation, medication use like corticosteroids and diuretics.