Nokea
A nurse is caring for a patient who states she is experiencing a thin vaginal discharge with a strong fishy odor. What test does the nurse prepare?
- A. whiff test
- B. vaginal culture
- C. urine culture
- D. blood test
Correct Answer: A
Rationale: A nurse caring for a patient who presents with a thin vaginal discharge with a strong fishy odor should prepare for performing a whiff test. The whiff test, also known as the amine or sniff test, is used to aid in the diagnosis of bacterial vaginosis (BV). BV is a common vaginal infection characterized by an overgrowth of harmful bacteria in the vagina and can cause symptoms like thin, grayish-white discharge with a strong fishy odor.
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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 the primary difference between hospital care and home health care?
- A. Home care is routinely and continuously delivered by professional staff.
- B. Home care is delivered on an intermittent basis by professional staff.
- C. Home care is delivered for emergency conditions.
- D. Home care is not available 24 hours a day.
Correct Answer: B
Rationale: Home care is provided intermittently by health professionals, who visit clients for specific needs. Hospital care, in contrast, involves continuous professional staff presence. Home care is typically not designed for emergency situations, which require immediate hospital care.
The nurse is providing care to the adult female patient who presents to the emergency department with a suspected myocardial infarction (MI). Which symptom indicates a possible MI for the female patient?
- A. Chest pain that radiates to the right arm and jaw
- B. Episodic nausea/indigestion and palpitations
- C. Sudden onset of trouble walking, and loss of balance
- D. Swelling of the feet and shortness of breath
Correct Answer: B
Rationale: For female patients, the classic symptom of a myocardial infarction (MI) is often different from that in male patients. While chest pain that radiates to the right arm and jaw is a common symptom in male patients, female patients may present with more subtle symptoms. Episodic nausea/indigestion and palpitations are more commonly seen in female patients experiencing a myocardial infarction. It is important for healthcare providers to recognize and consider these atypical symptoms in female patients to ensure timely diagnosis and treatment.
A nurse is assessing the knowledge of new parents of a child born with Klinefelter syndrome. Which statement accurately describes this genetic disorder?
- A. Klinefelter syndrome is a sex chromosome abnormality.
- B. It affects only female children.
- C. The disorder is expressed as trisomy XYY.
- D. The child with this disorder will grow to be infertile.
Correct Answer: A
Rationale: Klinefelter syndrome, also known as trisomy XXY, is a sex chromosomal deviation that is expressed in males. Turner syndrome (monosomy X) is displayed in females. Most males with Klinefelter syndrome are tall, may be infertile, and are slow to learn; however, those who have mosaic Klinefelter syndrome may be fertile as adults.
A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has the condition. The couple tells the nurse that they are having a second baby. Because their daughter has PKU, they are certain that this baby will not be affecteWhich response by the nurse is the most accurate?
- A. Good planning. You need to take advantage of the odds that are in your favor.
- B. I think you'd better first check with your physician.
- C. You are both carriers; therefore, each baby has a 25% chance of being affected.
- D. The ultrasound indicates a boy, and boys are not affected by PKU.
Correct Answer: C
Rationale: Each child conceived by this couple has a one-in-four chance of being affected with the PKU disorder. This couple still has an increased likelihood of having a child with PKU; having one child already with PKU does not guarantee that they will not have another. These parents need to discuss their options with their physician. However, an opportune time has presented itself for the couple to receive correct teaching about inherited genetic risks. No correlation exists between gender and inheritance of the disorder, because PKU is an autosomal recessive disorder.