361. A client who is 20 weeks’ gestation is concerned about how to tell her 3 year old son about her pregnancy.

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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

 
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