Nokea
A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for the administration of this medication?
- A. Heart disease
- B. Cervical dilation of 2 cm
- C. Gestational age of 34 weeks
- D. Allergy to penicillin
Correct Answer: A
Rationale: Terbutaline is a tocolytic that can cause cardiovascular side effects and is contraindicated in clients with heart disease.
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Nafarelin (Synarel) is used to treat mildtosevere endometriosis. What instruction or information should the nurse provide to a client regarding nafarelin administration?
- A. Nafarelin stimulates ovarian activity
- B. It should be administered by intramuscular (IM) injection
- C. Nafarelin should be administered by a subcutaneous implant
- D. It can cause the client to experience some hot flashes and vaginal dryness
Correct Answer: D
Rationale: Nafarelin is a GnRH agonist similar to menopause causing hot flashes and vaginal dryness as side effects. It is administered via nasal spray not IM or as an implant.
What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
- A. “I will avoid wearing a bra until I feel better.”
- B. “I should take steps to stop smoking cigarettes.”
- C. “Applying an ice pack to my breasts can help reduce pain.”
- D. “I should take the prescribed antibiotics until I feel better.”
Correct Answer: D
Rationale: The statement "I should take the prescribed antibiotics until I feel better" indicates effective teaching after a new diagnosis of nonlactational mastitis. Nonlactational mastitis is commonly treated with antibiotics to help clear up the infection. It is crucial for the patient to follow the prescribed antibiotic regimen as directed by their healthcare provider to ensure the infection is fully treated and to prevent it from worsening or recurring. Compliance with the antibiotic treatment plan is essential for successful management of nonlactational mastitis.
Which term best describes the conscious decision concerning when to conceive or avoid pregnancy as opposed to the intentional prevention of pregnancy during intercourse?
- A. Family planning
- B. Birth control
- C. Contraception
- D. Assisted reproductive therapy
Correct Answer: A
Rationale: Family planning is the process of deciding when and if to have children, while contraception refers to methods of preventing pregnancy during intercourse.
The secondary level of prevention is best illustrated by which example?
- A. Approved infant car seats
- B. BSE
- C. Immunizations
- D. Support groups for parents of children with Down syndrome
Correct Answer: B
Rationale: BSE (Breast Self-Examination) is a secondary prevention measure aimed at early detection of health problems, like breast cancer. Immunizations are primary prevention, and support groups fall under tertiary prevention, which addresses issues post-diagnosis.
In what form do families tend to be the most socially vulnerable?
- A. Married-blended family
- B. Extended family
- C. Nuclear family
- D. Single-parent family
Correct Answer: D
Rationale: Single-parent families are more socially and economically vulnerable. They often face challenges such as financial instability, which can affect the growth and development of children in these households.