Nokea
A nurse is counseling a client about the contraceptive sponge. Which of the following client statements indicates a need for further teaching?
- A. The sponge can be inserted just before intercourse.
- B. The sponge contains spermicide.
- C. The sponge is reusable if cleaned properly.
- D. The sponge should be left in place for at least 6 hours after intercourse.
Correct Answer: C
Rationale: The contraceptive sponge is a single-use device and cannot be reused, even if cleaned, indicating a need for further teaching. The other statements are correct.
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After explaining to a primiparous client about the causes of her neonate's cranial molding, which of the following statements by the mother indicates the need for further instruction?
- A. The molding was caused by an overlapping of the baby's cranial bones during my labor.'
- B. The amount of molding is related to the amount and length of pressure on the head.'
- C. The molding will usually disappear in a couple of days.'
- D. Brain damage may occur if the molding doesn't resolve quickly.'
Correct Answer: D
Rationale: Cranial molding is a normal process that resolves within days and does not cause brain damage, indicating the mother needs further instruction.
Which of the following would be most important for the nurse to encourage in a primiparous client diagnosed with endometritis who is receiving intravenous antibiotic therapy?
- A. Ambulate to the bathroom frequently.
- B. Discontinue breast-feeding temporarily.
- C. Maintain bed rest in Fowler's position.
- D. Restrict visitors to prevent contamination.
Correct Answer: C
Rationale: Fowler's position promotes drainage of uterine secretions, aiding recovery from endometritis.
A breast-feeding primiparous client asks the nurse how breast milk differs from cow's milk. The nurse responds by saying that breast milk is higher in which of the following?
- A. Fat.
- B. Iron.
- C. Sodium.
- D. Calcium.
Correct Answer: A
Rationale: Breast milk has higher fat content, which is essential for neonatal growth and brain development.
The physician orders intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which of the following medications should the nurse have readily available at the client's bedside?
- A. Diazepam(Valium).
- B. Hydralazine(Apresoline).
- C. Calcium gluconate.
- D. Phenytoin(Dilantin).
Correct Answer: C
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity.
A nurse is teaching a client about the use of the contraceptive injection. Which of the following client statements indicates a need for further teaching?
- A. I will need an injection every 3 months.
- B. The injection may cause irregular bleeding.
- C. The injection is reversible, but fertility may take time to return.
- D. The injection will protect me from STIs.
Correct Answer: D
Rationale: The contraceptive injection does not protect against STIs, indicating a need for further teaching. The other statements are correct regarding frequency, side effects, and reversibility.