A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states,
"Nobody cares about the clients." The nurse's most effective response would be:

• A."How can you say that I don't care? We just met."
• B."What makes you think the nurses don't care?"
• C."You will feel differently about us in a few days."
• D."You seem angry. Tell me more about how you feel."

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When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

• A.Anemia and vomiting
• B.Polyuria and polydipsia
• C.Irritability relieved by feeding formula
• D.Hypothermia and azotemia

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A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute examination, the nurse notes three fetal movements accompanied by accelerations of the fetal heart rate, each 15 bpm, lasting
15 seconds. The nurse interprets this test to be:

• A.Nonreactive
• B.Reactive
• C.Positive
• D.Negative

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A male client has heart failure. He has been instructed to gradually increase his activities. Which signs and symptoms of worsening heart failure should the nurse tell him to watch for that would indicate a need for him to lower his activity level?

• A.Pain in his legs when he walks
• B.Thirst, weight loss, and polyuria
• C.Drowsiness and lethargy after his activities
• D.Weight gain, edema in his lower extremities, and shortness of breath

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A client had a vaginal delivery 3 days ago and is discharged from the hospital on the 2nd day postpartum. She told the RN, "I need to start exercising so that I can get back into shape. Could you suggest an exercise I could begin with?'' The RN could suggest which one of the following?

• A.Push-ups
• B.Jumping jacks
• C.Leg lifts
• D.Kegel exercises

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