Nokea
A female client talks to the nurse in the provider's office about uterine fibroids, also called leiomyomas or myomas. What statement by the woman indicates more education is needed?
- A. I am the one out of every 4 women that get fibroids, and of women my age - between the 30s or 40s, fibroids occur more frequently.'
- B. My fibroids are noncancerous tumors that grow slowly.'
- C. My associated problems I have had are pelvic pressure and pain, urinary incontinence, and constipation.'
- D. Fibroids that cause no problems still need to be taken out.'
Correct Answer: D
Rationale: Fibroids that cause no findings may require only 'watchful waiting' with no treatment. Only when the client's findings become disturbing to them would surgical interventions be considered.
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To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
- A. apply suction for no more than 10 seconds
- B. maintain sterile technique
- C. lubricate 3 to 4 inches of the catheter tip
- D. withdraw catheter in a circular motion
Correct Answer: A
Rationale: Applying suction for more than 10 seconds may result in hypoxia. Although options B, C, and D are important during suctioning a tracheostomy, hypoxia results from actions that decrease the oxygen supply.
A clinic nurse is teaching parents with young children. About which most common sources of infectious disease transmission should the nurse teach the parents?
- A. Stool and oral and respiratory secretions
- B. Sharing dirty toys and used utensils
- C. Contact with blood from scrapes and sores
- D. Touching others after rubbing a runny nose
Correct Answer: A
Rationale: A: Young children commonly transmit infections via stool and respiratory secretions due to poor hygiene. B, C, D: These are less common sources in this age group.
The nurse is using contact precautions when caring for the client. When changing the client's IV solution bag, the nurse inadvertently touches the end of the exposed spike of the tubing. Which is the most appropriate action by the nurse?
- A. Insert the spike into the new IV solution bag
- B. Remove the gloves and obtain another pair
- C. Discard the tubing and obtain another sterile tubing
- D. Use alcohol to cleanse the spike of the tubing
Correct Answer: C
Rationale: C: The contaminated spike requires new sterile tubing to prevent infection. A: Using contaminated tubing risks infection. B: Changing gloves doesn't address tubing contamination. D: Alcohol cannot sterilize the spike.
Which of these findings would the nurse more closely associate with dehydration in a 10 month-old infant?
- A. Status of the eyes and the tongue
- B. Urine output
- C. Skin elasticity
- D. Dietary patterns
Correct Answer: A
Rationale: Status of the eyes and the tongue. Clinical findings of dehydration include sunken eyes, dry tongue, lethargy, irritability, dry skin, decreased play activity, and increased pulse. The normal pulse rate in this age child is 70-110.
The nurse is teaching a client about precautions with Coumadin therapy. The client should be instructed to avoid which over-the-counter medication?
- A. Non-steroidal anti-inflammatory drugs (NSAIDs)
- B. Cough medicines with guaifenesin
- C. Histamine blockers
- D. Laxatives containing magnesium salts
Correct Answer: A
Rationale: Non-steroidal anti-inflammatory drugs (NSAIDs). Medications with NSAIDs may increase the response to Coumadin (warfarin) and increase the risk of bleeding.