The nurse instructs a client on the difference between true labor and false labor. The nurse explains, "In true labor:

• A.Uterine contractions will weaken with walking."
• B.Uterine contractions will strengthen with walking."
• C.The cervix does not dilate."
• D.The fetus does not descend."

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When planning care for a 9-year-old client, the nurse uses which of the most effective means of helping siblings cope with their feelings about a brother who is terminally ill?

• A.Open discussion and understanding
• B.Play-acting out feelings in different roles
• C.Storytelling
• D.Drawing pictures

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A normal 3-year-old child is suspected of having meningitis. The doctor has ordered a lumbar puncture. In light of this procedure and developmental characteristics of this age group, which nursing measure is most appropriate?

• A.Emphasize those aspects of the procedure that require cooperation.
• B.Tell the child not to cry or yell.
• C.Tell the child that he will get a "stick" in his back.
• D.Use medical terminology when explaining the procedure to the client.

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A 4-year-old child with a history of sickle cell anemia is admitted to the nursing unit with dizziness, shortness of breath, and pallor. Nursing assessment findings reveal tenderness in the abdomen. The child is most likely experiencing a/an:

• A.Aplastic crisis
• B.Vaso-occlusive crisis
• C.Dactylitis crisis
• D.Sequestration crisis

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A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

• A.Smoke low-tar, filtered cigarettes
• B.Smoke cigars instead
• C.Smoke only right after meals
• D.Chew gum instead

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