Nokea
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
- A. Hypertension
- B. Fibromyalga
- C. Renal calculi
- D. Fibrocystic breast disease
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular events. Hypertension can be exacerbated by hormonal contraceptives, leading to serious complications like stroke or heart attack. It is crucial for women with hypertension to avoid estrogen-containing contraceptives.
B: Fibromyalgia, C: Renal calculi, D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. Fibromyalgia is a chronic pain disorder, renal calculi are kidney stones, and fibrocystic breast disease is a benign breast condition. These conditions do not impact the safety or efficacy of hormonal contraceptives.
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A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan?
- A. Wear loose-fitting underwear.
- B. Take a bubble bath after intercourse.
- C. Drink four 240 mL(8 oz) glasses of water each day.
- D. Void every 5 to 6 hr during the day.
Correct Answer: A
Rationale: The correct answer is A: Wear loose-fitting underwear. Tight clothing can trap moisture and bacteria, leading to UTIs. Loose-fitting underwear allows for better air circulation, reducing the risk of infection. Choice B is incorrect as bubble baths can irritate the urinary tract. Choice C is important for hydration but not directly related to preventing UTIs. Choice D is good practice for bladder health but does not specifically address UTI prevention.
A nurse is planning to teach a client about taking prednisone.
Which of the following instructions should the nurse include?
- A. Monitor for weight loss
- B. Increase dietary calcium.
- C. Take on an empty stomach.
- D. Schedule dosage at bedtime
Correct Answer: B
Rationale: The correct answer is B: Increase dietary calcium. This instruction is important for a patient likely prescribed with a medication that can deplete calcium levels. Calcium is essential for bone health and overall well-being. Monitoring weight loss (A) is important but not directly related to the medication's side effects. Taking on an empty stomach (C) or at bedtime (D) may be specific to certain medications, but not universally applicable.
A nurse is positioning a client for a cesarean birth.
To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?
- A. Position the client in reverse Trendelenburg
- B. Place a wedge under one of the client's hips.
- C. Assist the client into the lithotomy position.
- D. Insert a pillow under the clients frees
Correct Answer: B
Rationale: Hip wedges optimize maternal blood flow.
A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?
- A. Using an electronic messaging system to remind clients when to take medications
- B. Educating clients about contraindications to specific immunizations
- C. Helping clients understand health screenings covered by their insurance plans
- D. Providing clients with information about the benefits of exercise
Correct Answer: A
Rationale: The correct answer is A because using an electronic messaging system to remind clients when to take medications is an example of tertiary prevention. Tertiary prevention focuses on managing and improving the quality of life for individuals already diagnosed with a disease. In this case, reminding clients to take medications helps prevent complications and progression of HIV. The other choices are incorrect because: B is an example of primary prevention as it aims to prevent the occurrence of a disease; C is related to secondary prevention as it involves early detection and prevention of complications; D is a form of health promotion rather than prevention.
A nurse is caring for a client who is receiving total parenteral nutrition(TPN): The bag has 20 mL remaining to infuse, but a new bag is not readily available.
Which of the following actions should the nurse take?
- A. Administer dextrose 10% in water.
- B. Give 500 mL of lactated Ringers solution.
- C. Slow the TPN infusion rate.
- D. Temporarily discontinue the infusion
Correct Answer: A
Rationale: The correct answer is A: Administer dextrose 10% in water. This action is appropriate for treating hypoglycemia, which can be a potential complication of TPN (Total Parenteral Nutrition) therapy. Administering dextrose 10% in water can help raise the patient's blood sugar levels quickly and effectively. Choice B is incorrect as lactated Ringers solution does not directly address hypoglycemia. Choice C is not the best option as slowing the TPN infusion rate may further decrease the patient's blood sugar levels. Choice D is also incorrect as temporarily discontinuing the TPN infusion may exacerbate the hypoglycemia.