A child needs a consent form signed for a minor surgical procedure. Which statement accurately describes the responsibilities of the health care providers when obtaining the consent?
- A. The physician is responsible for ensuring that the consent form is completed with signatures from the parents or legal guardians.
- B. The physician is responsible for serving as a witness to the signature process.
- C. The nurse is responsible for informing the child and family about the procedure and obtaining consent.
- D. The nurse is responsible for determining that the parents or legal guardians understand what they are signing by asking them pertinent questions.
Correct Answer: D
Rationale: The nurse's responsibility related to informed consent includes the following: determining that the parents or legal guardians understand what they are signing by asking them pertinent questions, ensuring that the consent form is completed with signatures from the parents or legal guardians, and serving as a witness to the signature process.
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How should the nurse explain the consistency of cervical mucus at the time of ovulation?
- A. It becomes thin and elastic.
- B. It becomes opaque and acidic.
- C. It contains numerous leukocytes to prevent vaginal infections.
- D. It decreases in quantity in response to body temperature changes.
Correct Answer: A
Rationale: Thin, elastic mucus facilitates sperm transport during ovulation.
During the counseling sessions about hepatitis B vaccination, what should the nurse advise the client to receive?
- A. Hepatitis B immune globulin before receiving the vaccine.
- B. Vaccine booster every 10 years.
- C. Complete series of three intramuscular injections.
- D. Vaccine as soon as she becomes 21.
Correct Answer: C
Rationale: The hepatitis B vaccine requires a complete series of three intramuscular injections.
What is the best description of the history of gynecologic care in the United States over the past century?
- A. Reproductive health care has been under control of persons AFAB since the 1900s.
- B. The health-care system has always been fair to persons AFAB with regard to shared decision making.
- C. Activist groups are fighting sexism in health care.
- D. Researchers had to stop including persons AFAB in pharmacologic research trials.
Correct Answer: C
Rationale: The correct answer is C because activist groups have played a significant role in fighting sexism in gynecologic care over the past century. These groups have advocated for better healthcare access, reproductive rights, and gender equality. This is supported by historical evidence of movements such as the women's rights movement and advocacy for reproductive justice.
Choice A is incorrect as reproductive health care has not always been under the control of persons assigned female at birth (AFAB) since the 1900s, as there have been significant disparities and challenges faced by individuals in accessing quality care. Choice B is incorrect as the healthcare system has not always been fair in shared decision-making with persons AFAB, with historical examples of paternalistic practices. Choice D is incorrect as excluding persons AFAB from research trials would be unethical and discriminatory, which is not reflective of the overall history of gynecologic care.
A yellow crust has formed over the circumcision site.
- A. After circumcision, the diaper should be changed frequently and fastened snugly.
- B. This yellow crust is an early sign of infection.
- C. The yellow crust should not be removed.
- D. Discontinue the use of petroleum jelly to the tip of the penis.
Correct Answer: C
Rationale: The yellow crust is part of the healing process and should not be removed.
What signs/symptoms should the nurse suspect in a bulimic client?
- A. Significant weight loss and hyperkalemia.
- B. Respiratory acidosis and hypoxemia.
- C. Dental caries and scars on her knuckles.
- D. Hyperglycemia and large urine output.
Correct Answer: C
Rationale: Dental erosion and scars from induced vomiting are classic signs of bulimia.