IntegratedTestIX(A)Aclientwhois24hourspost-partumisassessedbythenurse.Whichclientbehaviorwarrantsfurtherinvestigation?Theclientisquietandspendstimegazingatherinfantinwonderment.Theclientdoesnotholdherchildandallowsthenursetoperformalloftheinfantcare.Theclientisnervousandvoicesconcernswithherabilitiesto"handleeverything."Theclientfrequentlycontactsthenurserytoaskforassistanceandsupervisionwhenperforminginfantcare.Answer:B-Theclientwhodoesnotinteractwithherchildandallowsthenursetoprovideallcarewillrequirefurtherobservationtoevaluatebonding.Motherswhospendtimegazingattheirbabiesarenormal.Itisnotunusualforanewmothertohavenumerousquestionsandexperiencefeelingsofuncertainty,especiallyifthisisherfirstchild.Thisgivesthenursetheopportunityforteaching.Thenurseiscaringforaclientwhoisnewlydiagnosedwithasthma.Whenteachingtheclienthowtoreduceexposuretoallergens,whichofthefollowingactionsshouldthenursesuggest?Maintainingindoorhumidityaround80%.Workingoutdoorsintheearlymorning.Washingsheetsandpillowcasesincoldwater.Coveringpillowsandmattressesinplasticcases.Answer:D-Becausedustanddustmitesfoundinpillowsandmattressescantriggeracuteasthmaattacks,thenurseshouldteachtheclienttocoverthemwithplasticcases.Maintainingindoorhumiditybetween40%and50%helpsreducetheclient'sexposuretomoldandpollen.Allergenlevelsarehighestoutdoorsintheearlymorning,sotheclientshouldavoidworkingoutdoorsduringthistime.Sheetsandpillowcasesshouldbewashedinhotwatertoreducetheclient'sexposuretoallergens.Aclientunderwentacolostomyforaruptureddiverticulum.Hedidwellthroughoutthesurgeryandreturnedtothemedical-surgicalfloorinstablecondition.Thenurseassessestheclient'scolostomystoma2daysaftersurgery.Whichassessmentfindingshouldthenursereportimmediatelytothephysician?Blanchedstoma.Edematousstoma.Reddish-pinkstoma.Brownish-blackstoma.Answer:D-Abrownish-blackstomaindicatesalackofbloodflowtothestoma,andnecrosisislikely.Twodayspostoperatively,thestomashouldstillbeedematousandreddish-pinkincolor.Ablanchedorpale