A 15-year-old female adolescent is frequently breaking the rules of the unit. She has left the unit and was found smoking in the bathroom and spending a large amount of time in the male ward. Which statement by the nurse would best explain to the teenager why she must follow the rules of the unit?

• A."It is not easy, but the rules must be followed so that everyone can get a fair chance."
• B."If you do not follow the rules, you will be transferred to the closed, locked unit."
• C."You are not being fair to the other clients by getting them involved in your deviant behavior."
• D."Break the rules, all you want, but don't get caught again!"

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A postoperative prostatectomy client is preparing for discharge from the hospital the next morning. The nurse realizes that additional instructions are necessary when he states:

• A."If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine."
• B."The isometric exercises will help to strengthen my perineal muscles and help me control my urine."
• C."If I feel as though I have developed a fever, I will take a rectal temperature, which is the most accurate."
• D."I do not plan to do any heavy lifting until I visit my doctor again."

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The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:

• A.Nausea and vomiting
• B.Quickening
• C.A 6-8 lb weight gain
• D.Abdominal enlargement

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The predominant purpose of the first Apgar scoring of a newborn is to:

• A.Determine gross abnormal motor function
• B.Obtain a baseline for comparison with the infant's future adaptation to the environment
• C.Evaluate the infant's vital functions
• D.Determine the extent of congenital malformations

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A primigravida is at term. The nurse can recognize the second stage of labor by the client's desire to:

• A.Push during contractions
• B.Hyperventilate during contractions
• C.Walk between contractions
• D.Relax during contractions

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