A nurse has arrived for the day shift at the hospital and has the following clients. 1) A client with Parkinson’s disease who needs to eat breakfast 2) A client with epilepsy who had a seizure last night 3) A client with a headache who is requesting pain medication 4) A client with their tray and a fasting blood glucose level ordered Which client is the highest priority that the nurse should see first?

While working in a primary care clinic, a nurse cares for a client who is bleeding. The nurse must decide whether the provider should be notified about the situation. Which of the following describe the steps of the decision making process for this nurse? Select all that apply.

The nurse is preparing to administer medications to clients. The client presenting with which condition will need to receive a tetanus shot?

A nurse arrives at work for a shift and receives the following assignment: Client A: A 21-year-old post-op day 1 after C-section for twins Client B: A 30-year-old who delivered a stillborn yesterday Client C: A 42-year-old who wants to take a shower Client D: A 28-year-old who wants to go home this afternoon Which client should the nurse see first?

A nurse is caring for a client who is recovering from total knee replacement surgery. The provider has ordered morphine IV for pain control and the nurse has been giving regular injections of the drug to control the client’s pain. Despite administering 10 mg of morphine over the first hour, the client still has severe pain, but his respiratory rate has decreased from a rate of 14/min to 9/min. Which response by the nurse is most appropriate?

A client comes into the emergency department with elevated bun and creatinine levels and on the nurse’s assessment the client has weak pulses and a small amount of concentrated urine. The clients vitals are the following: Blood pressure 86/68 Heart rate 118 Respirations 18 Temperature 98.9F The nurse knows that which of the following orders should be implemented first?

The nurse is caring for 4 clients who all need medication. Which client needs medication first?

The nurse is caring for a client recently diagnosed with polycystic ovarian syndrome (PCOS) who presents to the emergency department with polydipsia and polyuria. Which of the following nursing interventions should the nurse implement first?

A nurse utilizes critical thinking skills while providing care on the medical-surgical floor. Which best describes a true statement regarding use of critical thinking skills?

A client who has developed respiratory shock is intubated in the ICU. Because the client is sedated while on the ventilator, the nurse must reposition the client frequently to prevent skin breakdown. Which factor would most likely affect the timing of when the nurse would reposition this client?

A 38-year-old client has been diagnosed with amyotrophic lateral sclerosis (ALS) and has subsequently developed breathing difficulties including shortness of breath and an inability to cough. Which best describes a nutritional challenge associated with this diagnosis?

A 25-year-old man drives to the ED after falling off a roof and landing on his right side on a concrete abutment. His chief complaints are dyspnea and significant chest pain. All of the following nursing actions would ensure proper ventilation and perfusion in this patient except:

A nurse is caring for a client who is receiving care in the acute care clinic after overdosing on diazepam. The nurse understands that excess CNS depressants can lead to complications including seizures, shock, and coma. Which of the following best describes the first intervention by the nurse?

A 78-year-old woman arrives at the ED complaining of abdominal cramping. She states that she has had diarrhea and has felt tired for about 1 week. She has a history of diabetes mellitus and chronic renal failure. The nurse establishes an IV line and draws blood for laboratory studies. The serum potassium level is 6 mEq/L. The physician diagnoses hyperkalemia. The nurse would anticipate pharmacologic management of hyperkalemia to include administration of all of the following except:

A client is receiving education on a procedure that will be done in interventional radiology. The nurse should include all of the following EXCEPT?

A 40-year-old man is admitted to the ED with lethargy and tachypnea. His skin is dry and flushed, and he has a fruity breath odor. An IV line is started and blood is drawn for laboratory studies. His blood glucose level is 840 mg/dL, and his urinalysis reveals +3 glucose, and +3 ketones. Thephysician diagnoses diabetic ketoacidosis. The nurse would expect to note all of the following physiologic abnormality during the assessment of this patient except:

A 36-year-old client has been diagnosed with scleroderma and has breathing difficulties, including wheezing and dry cough. Which of the following skin changes would the nurse also expect to see upon assessment of this client?

A 3-year-old girl weighing 35 lb (15.9 kg) is brought to the ED. She is alert but has been nauseated, vomiting, and diaphoretic since this morning. Last night an open bottle of pediatric acetaminophen (Children’s Tylenol) was found in a bathroom at the patient’s home. Which nursing diagnosis is most appropriate for this patient?

A nurse is caring for a client receiving topical anesthesia. The nurse knows that this includes all drug classes except which of the following?

A 28-year-old African-American man with a history of sickle cell disease is admitted to the ED. During assessment, the nurse notes the following symptoms: severe abdominal and back pain, aching joint pain, fever, vomiting, and dyspnea. The nurse understands that all of the following are forms of sicklecell crisis except:

A nurse is writing an incident report after a client fell in the bathroom. Which of the following principles should the nurse employ when writing this report? Select all that apply.

An older adult client who has been diagnosed with lymphoma does not have a living will in place, but has filled out a values history. Which of the following is associated with this type of directive? Select all that apply.

The nurse is caring for a client who has been placed on neutropenic precautions. The nurse knows that this includes which of the following? Select all that apply.

The nurse is caring for a client who has recently finished chemotherapy. The client asks if it is appropriate to begin exercising. Under which conditions would exercise be contraindicated for this client? Select all that apply.

A nurse is caring for a client who has a peripheral IV. Which of the following situations would most likely contribute to development of phlebitis? Select all that apply.

A nurse is monitoring a postpartum client for complications after going through a high-risk delivery. Which of the following increases the risk of postpartum bleeding? Select all that apply.

A nurse caring for a client with scleroderma knows that which of the following side effects might be assessed? Select all that apply.

The nurse is caring for a client who recently had an open reduction and internal fixation (ORIF) of the right radius. When the nurse is performing the physical assessment, the client reports increased pain and numbness to the right forearm. Which of the following actions should the nurse complete first?

The nurse is discussing hormonal analysis with a male client being tested for infertility. Which of the following hormones are tested in this type of hormonal workup? Select all that apply.

Which of the following is an example of a serious, reportable event? Select all that apply.

A client is afraid that she has been exposed to HIV. The HIV antibody screening test is positive. The client is upset. Which of the following responses from the nurse is most appropriate?

A nurse is working with a client who takes warfarin. Which information would the nurse include when teaching this client about the INR? Select all that apply.

A nurse is caring for a client with bariatric surgery who is continuously rushing to the bathroom after every meal. The nurse knows that this is common in clients who have undergone which of the following types of bariatric surgeries where the GI tract is redirected? Select all that apply.

A nurse at a long-term care facility is working with team members to develop a restraint-free system. Which principles would the team consider when developing a restraint-free environment? Select all that apply.

A nurse suspects that a client in the healthcare clinic is struggling with prescription medication abuse. Which of the following is true regarding this condition? Select all that apply.

A 61-year-old client recently had surgery where the surgeon placed an ostomy appliance. Which of the following teaching principles would the nurse include when instructing this client about ostomy care?

A nurse is providing a complete bed bath for a client who is in the hospital. Which of the following steps would be included as part of a complete bed bath? Select all that apply.

The nurse is setting up IV therapy for a client. It is necessary for the nurse to include which of the following aspects of this treatment?

The nursing staff at a local hospital have complained about the changes in computerized documentation in their unit. The nurse manager tries to explain why electronic documentation can be beneficial. Which of the following best describe benefits of using computerized nursing documentation? Select all that apply.

A client with lung disease has decided to receive palliative care at home. The client does not want his mother to be nearby while he is recovering, even though his wife has asked him to reconsider. Which response from the nurse would best support this client’s choice?

A 65-year-old woman is brought to the ED by ambulance after fainting. Physical examination reveals central-type obesity with a fatty buffalo hump in the neck, hirsutism, thin and fragile extremities with ecchymotic areas, hypertension, and mild congestive heart failure. She informs the nurse that she has experienced extreme weakness and fatigue during the past month and that her sleep patterns have become altered. The nurse realizes that the patient’s signs and symptoms are characteristic of:

A 63-year-old man arrives at the ED in an ambulance, complaining of a persistent, dull epigastric pain radiating to the interscapular region; the pain began 2 days ago. The nurse notes that he is alert and has good coloring and that his skin is warm and dry. Vital signs include right-arm blood pressure (BP) 120/60 mmHg, left-arm BP 220/100 mmHg, right radial pulse 2+, and left radial pulse 3+. The nurse notes bilateral basilar crackles and a systolic cardiac murmur at the second right intercostal space. The patient has a 33-year history of hypertension, for which he is taking medications. The physician prescribes an antihypertensive agent for the patient. The main objective of therapy is to maintain:

A 17-year-old female model arrives at the ED complaining of generalized cramps and numbness in her fingers. When asked about her medical history, she informs the nurse that she has been on a high-protein diet for about 6 weeks. The nurse establishes an IV line and draws blood for laboratory studies. The patient’s serum calcium level is 5.5 mg/dL. When assessing a patient for hypocalcemia, the nurse attempts to elicit Chvostek’s sign by:

A client presents to the ER bleeding profusely from a gunshot wound. The client is in hypovolemic shock and needs a rapid transfusion. What does the nurse anticipate to replace blood volume after starting the IV?

A female patient is in the (emergency department) ED with a fever and toxic shock syndrome due to Staphylococcus aureus. What is the most common cause of this condition?

A 71-year-old woman is brought to the ED because of fatigue and a change in mental status. Assessment findings reveal a rectal temperature of 96.8o F (36oC), a BP of 110/74 mmHg, a pulse rate of 48 beats/minute, a respiratory rate of 12 breaths/minute, periorbital edema, and yellowish skin pigmentation. The patient’s daughter relates a history of thyroid problems and noncompliance with medical therapy. The physician diagnoses myxedema coma. The nurse would assess a patient admitted with myxedema coma (hypothyroid crisis) for which electrolyte abnormality?

A client is cognitively impaired. What techniques can the nurse use to facilitate communication? Select all that apply.

A 42-year-old male client has been tested for testosterone levels because of gradually declining levels in the body. His provider prescribes hormone replacement therapy of testosterone. What is the most common method of administering this type of hormone?

A 25-year-old man is transported to the ED after striking a lamppost while driving a motorcycle. His vital signs are stable, and he is alert and oriented. His right leg is splinted. The nurse examines the patient’s leg and notes gross deformity. About 2″ (5 cm) of the tibia is exposed, and dirt and shreds of denim are found in the open wound. The foot is warm, the dorsalis pedis and posterior tibial pulses are strong. Sensations are intact. Xrays reveal a comminuted fracture of the midshaft tibia and fibula. The nurse would expect the physician to order all of the following treatments for this patient except:

A nurse is assessing clients for the need for genetic testing during pregnancy. Which client is the most appropriate to recommend for immediate genetic testing?

A client with chronic diarrhea tells the nurse that she wants to start taking probiotics to regulate her digestive system. In which products are probiotics most commonly found? Select all that apply.

A 1-month-old child has come in for the first well child visit. The child’s mother was HIV positive at time of delivery. Which statement is true regarding administration of vaccines to the child at this time?

A client is experiencing hypovolemic shock following a femur fracture and requires surgery to stop the bleeding and to reposition the bone. The provider has discussed treatment with the client, its benefits and disadvantages, and the client’s right to seek alternative treatments. The nurse is helping the client with signing the informed consent. Which statement by the client indicates that more teaching is needed?

A cardiac client is at high risk of developing a DVT during the post-op period following heart surgery. The factors that increase a client’s risk of developing a DVT, known as Virchow’s triad, include venous stasis, hypercoagulability, and which of the following?

A 3-month-old has just had casts applied to the left foot. The nurse knows to assess for symptoms of compartment syndrome and would be concerned about which of the following? Select all that apply.

A client who is admitted to the hospital for back surgery is concerned about experiencing an adverse event during the client’s hospital stay. Which of the following are common causes of iatrogenic injury? Select all that apply.

A client who has been utilizing peritoneal dialysis for 1 month presents to the clinic with complaints of abdominal pain and nausea. The nurse notes a distended abdomen. Which of the following interventions will the nurse need to do first?

A nurse is triaging clients in the emergency department. Which of the following clients should be seen first?

The nurse is beginning a shift and has just received report from the off-going nurse. Of the following clients, which client must be assessed first?

The following clients are in the waiting room. Which client should be assessed and treated first?

A nurse is assigned to four clients in the emergency room and knows to see which client first?

A client who is recovering from cardiac catheterization has developed low blood pressure and jugular venous distention. The nurse auscultates the client’s chest and notes clear lung sounds, but muffled heart sounds. Which action would the nurse perform first?

A nurse is assigned 4 clients and is deciding which order to see the clients. Which of the following clients should be seen first?

A client was found lying outside in the snow unconscious and brought to the emergency room. Upon assessment, the nurse finds that the client has a temperature of 92.1 F and the nurse is unable to palpate the left radial pulse. The nurse should do which of the following first?

A nurse is working in a rehabilitation facility, and must assess 4 clients. Which of the following clients should the nurse see first?

A client who is recovering from an abdominal wound tries to sit up in bed. The nurse notices a popping sound and checks the abdominal incision, which is leaking a significant amount of serosanguineous drainage. Which is the first intervention by the nurse?

A 12-year-old with autism spectrum disorder has just been admitted with possible appendicitis. Which of the following nursing interventions would be most appropriate for helping the child cope with the stress associated with hospitalization? Select all that apply.

A 56-year-old woman is brought to the ED by emergency medical service personnel for evaluation of increasing shortness of breath. Her shortness of breath began 2 days ago and has become increasingly severe. She is pale and diaphoretic, and her skin is warm. Her respirations are 36 breaths/minute, and she exhibits increasing use of supraclavicular and abdominal muscles. The nurse detects bilateral crackles on auscultation. The nurse notes that the patient has a history of coronary artery disease and that she had an MI 2 years ago. After assisting the patient into a high Fowler’s position, the nurse records the following vital signs: blood pressure 90/60 mmHg and pulse rate 116 beats/minute and irregular. The nurse notes that the patient’s presenting symptoms and vital signs are consistent with:

A 34-year-old client has suffered a femur fracture and is using skeletal traction while in bed. Which nursing diagnoses would be most applicable in this situation? Select all that apply.

A 52-year-old diabetic man with a 1-year history of chronic renal failure that is treated with continuous ambulatory peritoneal dialysis and he is unconscious when admitted to the ED. Available medical records indicate that 2 years ago he had been receiving 28 units of NPH insulin daily. The nurse should also assess this patient for developing:

A 27 week pregnant client in preterm labor is given tocolytics which are successful. What would the nurse expect to be included in the client’s plan of care?

A 14-year-old teen has been hospitalized for acute exacerbation of ADHD symptoms. The nurse tries to help the client to engage with others on the unit. Which of the following interventions would be most appropriate for supporting social interaction for this client?

A 25-year-old man is transported to the ED after striking a lamppost while driving a motorcycle. His vital signs are stable, and he is alert and oriented. His right leg is splinted. The nurse examines the patient’s leg and notes gross deformity. About 2″ (5 cm) of the tibia is exposed, and dirt and shreds of denim are found in the open wound. The foot is warm, the dorsalis pedis and posterior tibial pulses are strong. Sensations are intact. Xrays reveal a comminuted fracture of the midshaft tibia and fibula. The nurse would expect the physician to order all of the following treatments for this patient except:

A 60-year-old client is going through pulmonary rehabilitation for COPD. The nurse understands that an expected outcome of pulmonary rehabilitation is which of the following?

A client with peripheral artery disease is suffering from ineffective tissue perfusion. Which of the following would be appropriate outcomes for this nursing diagnosis? Select all that apply.

A 22-year-old man arrives at the ED for treatment of phencyclidine (PCP) ingestion. Which of the following would be an important concern when planning the care of this patient?

A 52-year-old diabetic man with a 1-year history of chronic renal failure that is treated with continuous ambulatory peritoneal dialysis and he is unconscious when admitted to the ED. Available medical records indicate that 2 years ago he had been receiving 28 units of NPH insulin daily. The nurse should also assess this patient for developing:

A 68-year-old client has been diagnosed with chronic monocytic leukemia. The nurse is teaching the client about the best methods of staying healthy. Which information should the nurse provide about influenza vaccination related to leukemia?

A 4-year-old boy is admitted to the ED with a sudden high fever. His mother notes that he has been weak and dyspneic and has had generalized pain and recurrent infections. He is found to have an elevated white blood cell count, anemia, thrombocytopenia, and tachycardia. The physician diagnoses acute lymphocytic leukemia. After which age is acute lymphocytic leukemia considered uncommon?

A 32-year-old woman is admitted to the ED with complaints of sudden, severe pain in the right leg. After a thorough assessment, the physician diagnoses her condition as acute arterial occlusion of the right leg. Which history finding is atypical of a patient with acute arterial occlusion?

A 78-year-old woman arrives at the ED complaining of abdominal cramping. She states that she has had diarrhea and has felt tired for about 1 week. She has a history of diabetes mellitus and chronic renal failure. The nurse establishes an IV line and draws blood for laboratory studies. The serum potassium level is 6 mEq/L. The physician diagnoses hyperkalemia. The nurse would anticipate pharmacologic management of hyperkalemia to include administration of all of the following except:

A 25-year-old client in the ICU is being treated for acute respiratory distress syndrome (ARDS). The client is on a ventilator and requires 80 percent FiO2. Which information would the nurse most likely need to report about the client to the respiratory therapist assigned to this case?

A 25-year-old client is being treated for chronic anemia with iron, but it is not bringing up the client’s red blood cell count. Which of the following medications is most likely the next line of treatment for this client?

A 20-year-old client with asthma is being seen for acute exacerbation of symptoms. The nurse talks with the client about their lifestyle and what medications they take at home. Which medication would warrant the nurse providing further teaching about the client’s condition?

A 65-year-old man with a history of chronic obstructive pulmonary disease and laryngeal carcinoma is being examined in the ED. He is currently undergoing radiation therapy and has symptoms of acute respiratory distress. Assessment reveals inspiratory stridor, dyspnea, increasing apprehension, and facial flushing. The most appropriate nursing action would be to:

A 56-year-old man is admitted to the ED because of shortness of breath. He has a history of congestive heart failure, myocardial infarction, and hypertension. Assessment findings reveal the following: blood pressure 220/110 mmHg, pulse rate 100 beats/minute-full and bounding, and respiration rate 34 breaths/minute, deep, fast, and labored. Auscultation reveals pericardial friction rub and crackles in both lung bases. EKG monitoring reveals normal sinus rhythm with tall, tented T waves. The nurse notes that the patient has distended jugular veins and edema of the hands, feet, periorbital areas, and sacrum. Indwelling urinary catheterization yields 20 mL of dark amber urine. Arterial blood gas studies show PH 7.25, PO2 60 mmHg, PCO2 36 mmHg, and HCO3 – 14 mEq/L. Laboratory results reveal a serum BUN level of 50 mg/dL and a serum creatinine level of 5.5 mg/dL. The physician diagnoses acute renal failure (ARF). The physician determines that hemodialysis is necessary for this patient. The nurse should explain to the patient that:

A 22-year-old male client has been prescribed growth hormone therapy for his small, short stature. The client must administer the medication as an injection. Which of the following statements is true about injecting this type of hormone replacement?

A 14-year-old client has just been prescribed hydroxyurea to help treat sickle cell anemia. The client asks the nurse about the purpose of this new medication. Which of the following explanations by the nurse is correct?

A client on chemotherapy has arrived for an appointment. Upon assessment, the nurse notes that the client has lost 20 pounds. The client denies nausea and vomiting, and says she is following the same diet as before. Which of the following dietary recommendations should the nurse give this client?

A client’s mother is upset that after 24 hours no antibiotics have been prescribed for an earache and fever. Which explanation is the best for the nurse to provide?

A client with a gastrointestinal condition is suffering from chronic constipation. The nurse recommends that the client increase fiber intake to 25 or 30 g per day. Which of the following factors must the nurse consider when counseling the client to increase fiber intake?

A client is afraid that she has been exposed to HIV. The HIV antibody screening test is positive. The client is upset. Which of the following responses from the nurse is most appropriate?

The nurse has an order to give hypertonic saline (3% NaCl) to a client with increased intracranial pressure. The nurse correctly understands that the effect of this will be which of the following?

A client who is 36 weeks’ pregnant tells the nurse that she is not getting enough sleep at night because she is uncomfortable. In which of the following positions should the nurse recommend that the client try to sleep?

A client presents to the emergency department in respiratory distress. The nurse obtains a set of vital signs, starts a 20 gauge IV in the right antecubital, and places the client on 3L O2. After reporting the results to the provider, the provider orders a lab draw and a set of ABGs. The nurse correctly understands which of the following to be appropriate reasoning for ABGs?

A 44-year-old diabetic client is undergoing surgery for a hysterectomy. The client is a type 1 diabetic who requires regular monitoring of blood glucose levels and insulin administration on a sliding scale. Which information should be given to the client about controlling blood glucose levels throughout surgery?

A 30-year-old client is scheduled for an endometrial ablation and is concerned about “what everyone will see” during the procedure. The nurse knows that which of the following is the best response to this comment?

A client receiving care for hypertension decides he would rather receive care from a different provider. Which option best describes the relationship between client rights and choice of healthcare providers?

A client developed an infection in the foot following surgery. The surgeon recommends incision and debridement of the foot wound but the client refuses, blaming the surgeon for the infection. What actions must the nurse initiate when a client refuses care as recommended? Select all that apply.

A 39-year-old client is talking with a nurse about the client’s sexual relationship with a committed partner. Which describes how the nurse should discuss an awkward topic with a client?

A 45-year-old client with schizophrenia has been brought to the hospital after trying to commit suicide. The client tells the nurse that the voices he hears told him to do it. He is extremely anxious and upset. Which assessment question would most likely help the nurse to assess the client’s perception of this event?

A client and her spouse are seen at the primary care clinic for assessment for infertility. The client becomes tearful as she tells the nurse that she has been trying to become pregnant for over a year without success. The client says, “I do not think I could handle it if I knew I could never start a family.” Which intervention by the nurse best demonstrates therapeutic communication to assist the client with coping with her situation?

A 16-year-old client is being seen for treatment of an inguinal hernia. The client’s parents are present while the child talks to the provider. The client decides against undergoing the recommended treatment. The parents are considering their child’s position as a mature minor to allow the child to make the decision. Which of the following best describes a mature minor?

A 29-year-old pregnant client arrives at the hospital in active labor. The client is deaf and her husband is with her. Which intervention from the nurse expresses her ability to communicate with this client?

A 40-year-old man arrives at the ED with severe mid-facial trauma. He had been sitting in the front passenger seat of an automobile that crashed into a tree at 60 miles/hour. The orthopedic surgeon examines the patient and determines that an open reduction and internal fixation is required. When communicating the news to the patient’s family, the nurse should:

A client with lung cancer tells the nurse about how difficult it has been to go through cancer treatment. Which response from the nurse best demonstrates therapeutic communication?

A 29-year-old client suffered a subarachnoid hemorrhage 4 months ago and has now been diagnosed with post-traumatic stress disorder (PTSD). Based on this diagnosis, the nurse knows that the client would most likely demonstrate which of the following symptoms?

A 19-year-old college student is seen in the university health clinic for symptoms of dehydration and weight loss. The client is a member of the school’s track team and spends several hours a day training. Which information should the nurse give to this client to prevent dehydration associated with excessive exercise?

A client has been brought into the emergency department after overdosing at home on acetaminophen tablets. The nurse sets up a gastric lavage kit according to provider orders. The nurse prepares to insert the tube into the client’s nose. Which action should the nurse perform first?

A client is brought into the ED. The client is highly anxious and upset and her hands are shaking. She tells the nurse that she can’t breathe. Which action should the nurse perform first?

A 15-year-old female client was diagnosed with type 1 diabetes a year ago. The client is now being seen in the healthcare clinic because her mother is concerned that she is losing too much weight. The client admits that she sometimes goes without eating for long periods and uses very little insulin. Which of the following interventions would be most appropriate for the nurse to help this client?

A nurse is caring for a client who is Catholic and is NPO after abdominal surgery. The client’s priest visits to offer communion. Which action of the nurse is most appropriate?

A client in DKA has an order for an insulin infusion at 5 units per hour. The nurse is setting up IV insulin, 100 units/100 mL as a secondary line, with D10W as the primary infusion. The nurse follows the 6 rights of medication administration, clamps the secondary tubing, spikes the insulin bag, squeezes the chamber until it is ⅔ full, and slowly opens the roller clamp to prime the tubing. The nurse then cleanses the Y-port closest to the client and connects the secondary tubing, ensuring the bag is hanging above the primary infusion. The pump is programmed to run the secondary infusion at 5 mL per hour, so the nurse starts the pump. Which statement correctly describes what is wrong with this situation?

A community nurse goes to visit an elderly client living alone. The client’s spouse passed away 6 months ago and since then the client has had a 20 lb weight gain and reports the inability to cook and eats out a lot. Further assessment reveals the client has not seen a provider in 2 years, is on a limited income, and does not participate in any social activities. The nurse understands that Mr. Thomas would benefit most from which of the following?

A 6-year-old child has been brought in for care and treatment after suffering from physical abuse by her father. The child is experiencing a post-traumatic fight-or-flight response. Which signs or symptoms would the nurse most likely expect to initially see in this client?

A community health nurse is teaching a new mother about caring for her baby. The mother is worried about her child developing food allergies and asks the nurse what she can do to prevent it. Which information is most appropriate in this situation?