Nokea
A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug as being used?
- A. Danazol
- B. Penicillin
- C. Bromocriptine
- D. Tamoxifen
- G. B
Correct Answer: Penicillin, an antibiotic, has no role in treating fibrocystic breast disease, which involves hormonal changes. Danazol, bromocriptine, and tamoxifen are used to manage symptoms by altering hormone levels.
Rationale:
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While obtaining a health history from a male adolescent during a good check-up, the nurse assesses his sexual behavior and risk for sexually transmitted infections. Based on the information, the nurse plans to teach the adolescent about using a condom. What statement would the nurse include in the teaching plan?
- A. Store your condoms in your wallet so they are ready for use.
- B. Use petroleum jelly with a latex condom for extra lubrication.
- C. Put the condom on before engaging in any genital contact.
- D. You can reuse a condom if it's within 3 hours.
- G. C
Correct Answer: Applying a condom before genital contact prevents STI and pregnancy transmission. Wallets damage condoms, petroleum jelly weakens latex, and reusing condoms increases infection risk.
Rationale:
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?
- A. Do not apply heat to the area of irradiation.
- B. Use an antibiotic ointment to treat skin breakdown.
- C. Lubricate the skin with hypoallergenic lotion.
- D. Do not wash the area of irradiation.
- G. A
Correct Answer: Avoiding heat prevents increased inflammation in the irradiated area. Antibiotic ointments and lotions may interfere with therapy, and gentle washing with mild soap is recommended.
Rationale:
A maternity client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure?
- A. The social worker
- B. The nurse
- C. The physician
- D. The unit secretary
- G. C
Correct Answer: The physician is legally responsible for obtaining informed consent, explaining the procedure's purpose, risks, and alternatives. Nurses may assist, but social workers and unit secretaries have no role in this process.
Rationale:
The nurse is assessing a 13-year-old girl. Which event would the nurse expect to have occurred first?
- A. Growth spurt
- B. Evidence of pubic hair
- C. Onset of menses
- D. Development of breast buds
- G. D
Correct Answer: Breast bud development (thelarche) is typically the first pubertal event in girls, occurring between 8-12 years, driven by estrogen.
Rationale:
A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available as hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose?(Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)
- G. 0.8 mL
Correct Answer: Using the ratio 250 mg/2 mL = 100 mg/x mL, cross-multiply to get 250x = 200, so x = 0.8 mL. This is the correct dose, rounded to the nearest tenth.
Rationale: