Nokea
A 62-year-old woman has not been to the clinic for an annual examination for 5 years. What should the nurse do to facilitate a positive health care experience for this client?
- A. Remind the woman that she is long overdue for her examination.
- B. Carefully listen, and allow extra time for this woman's health history interview.
- C. Reassure the woman that a nurse practitioner is just as good as her old physician.
- D. Encourage the woman to talk about the death of her husband and her fears about her own death.
Correct Answer: B
Rationale: The nurse should listen carefully and allow extra time, as older women may have longer health histories or emotional needs.
You may also like to solve these questions
Which body part both protects the pelvic structures and accommodates the growing fetus during pregnancy?
- A. Perineum
- B. Bony pelvis
- C. Vaginal vestibule
- D. Fourchette
Correct Answer: B
Rationale: The bony pelvis provides protection and support for the growing fetus during pregnancy.
Which condition or treatment reduces the risk of morbidity in women with the inherited factor V Leiden disorder?
- A. Anticoagulant therapy
- B. Pregnancy
- C. Oral contraceptives
- D. Hormone replacement therapy
Correct Answer: A
Rationale: Factor V Leiden is the most common inherited risk factor for primary or recurrent venous thromboembolism. It is an autosomal recessive disorder that increases an individual's risk for blood clots in the legs and pulmonary emboli. This risk significantly increases if the woman is pregnant or is taking oral contraceptives or hormone replacement therapy. Prophylactic anticoagulation therapy decreases the risk of comorbidities.
A nurse is caring for a patient with pyelonephritis. What does the nurse identify as the most common cause?
- A. Escherichia coli
- B. Neisseria gonorrhoeae
- C. Chlamydia trachomatis
- D. Candida albicans
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. In pyelonephritis, bacteria typically ascend from the lower urinary tract to the kidneys. E. coli is the most common cause due to its prevalence in the gastrointestinal tract and ability to cause urinary tract infections. Neisseria gonorrhoeae and Chlamydia trachomatis are more commonly associated with sexually transmitted infections, not pyelonephritis. Candida albicans is a fungal infection and is not a common cause of pyelonephritis.
The nurse is assessing a 25-year-old female patient when the patient becomes tearful. The patient states that she has thin milky discharge from her nipples and two small masses on her left breast. She has lost over 40 pounds in the past year due to intensive exercises and finds that she needs to wear a sports bra during her sessions. The patient states that she is afraid that she will become the first member of her family to have breast cancer. Besides a negative mammogram, what other symptoms would correlate with this being a benign finding? Select all that apply.
- A. Milky discharge from nipples
- B. Extensive weight loss
- C. Painful masses
- D. Mood swings
Correct Answer: A
Rationale: The correct answer is A: Milky discharge from nipples. Milky discharge from nipples in a young female with no other concerning symptoms can be indicative of benign conditions such as hormonal imbalances or medication side effects. In this case, the patient's age, weight loss due to exercise, and negative mammogram are all factors that suggest a low likelihood of breast cancer. Extensive weight loss (choice B) is likely attributed to the intensive exercises mentioned and not directly correlated with breast cancer. Painful masses (choice C) could indicate an inflammatory or infection process but are not necessarily indicative of malignancy. Mood swings (choice D) are unrelated to the breast symptomatology described.
A client currently uses a diaphragm and spermicide for contraception. She asks the nurse to explain the major differences between the cervical cap and the diaphragm. What is the most appropriate response by the nurse?
- A. No spermicide is used with the cervical cap, so it's less messy.
- B. The diaphragm can be left in place longer after intercourse.
- C. Repeated intercourse with the diaphragm is more convenient.
- D. The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later.
Correct Answer: D
Rationale: The cervical cap can be inserted hours before sexual intercourse without the need for additional spermicide later.