A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on activities, and monotony. Which of the following nursing implementations would be most effective in helping him cope with immobility?

• A.Providing him with books, challenging puzzles, and games as diversionary activities
• B.Allowing him to do as much for himself as he is able, including learning to do pin-site care under supervision
• C.Having a volunteer come in to sit with the client and to read him stories
• D.Stimulating rest and relaxation by gentle rubbing with lotion and changing the client's position frequently

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Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

• A.Methylprednisolone sodium succinate (Solu-Medrol)
• B.Loperamide (Imodium)
• C.Psyllium
• D.6-Mercaptopurine

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A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the nurse uses the following strategy:

• A.Establish a structured environment with routine tasks and activities. Also, serve meals at the same time each day.
• B.Distract the client during meals to get her to eat because she must take in sufficient amounts to keep from starving.
• C.Do frequent room checks to be sure that the client is not hiding food or throwing it away.
• D.Listen attentively and participate in in-depth discussions about food, because these actions may encourage her to eat.

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In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

• A.First trimester
• B.Second trimester
• C.Third trimester
• D.Every trimester

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The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It would be correct for the nurse to explain that with cigarette smoking there is increased risk that the baby will have:

• A.A low birth weight
• B.A birth defect
• C.Anemia
• D.Nicotine withdrawal

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