Nokea
A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the client to avoid while taking this drug?
- A. Caffeine
- B. Chocolate
- C. Nicotine
- D. Alcohol
- G. D
Correct Answer: Alcohol can cause a severe reaction with metronidazole, leading to nausea, vomiting, and other symptoms. Caffeine, chocolate, and nicotine do not interact with metronidazole.
Rationale:
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While obtaining a health history from a male adolescent during a well 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 breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. When preparing the client's preoperative plan of care, which area would the nurse most likely address as the priority?
- A. Fluid balance
- B. Body image
- C. Urinary elimination
- D. Activity
- G. B
Correct Answer: Body image is a priority due to the psychosocial impact of mastectomy on identity and self-esteem. Fluid balance, urinary elimination, and activity are less immediate concerns.
Rationale:
A nurse is preparing a class discussion on the clinical manifestations of a heart attack observed in women. Which symptoms would the nurse include as key assessment data? Select all that apply.
- A. Sleep disturbances
- B. Syncope
- C. Unusual fatigue
- D. Extreme hunger
- E. Arm pain
- G. A,C,E
Correct Answer: Women may experience sleep disturbances (48%), unusual fatigue (70%), and arm pain (42%) before a heart attack, indicating reduced cardiac function. Syncope (12%) and extreme hunger (4%) are less common.
Rationale:
A nurse is caring for a client who is one day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?
- A. Refusing to look at the dressing or surgical incision
- B. Asking questions about the information on her postoperative care pamphlet
- C. Performing arm exercises once or twice a day
- D. Asking for pain medication every 3 hours
- G. A
Correct Answer: Refusing to look at the incision may indicate denial or body image issues. Asking questions, exercising, and requesting pain relief suggest positive coping.
Rationale:
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: