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A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug as being used?
- A. Danazol
- B. Penicillin
- C. Bromocriptine
- D. Tamoxifen
- G. B
Correct Answer: Penicillin, an antibiotic, has no role in treating fibrocystic breast disease, which involves hormonal changes. Danazol, bromocriptine, and tamoxifen are used to manage symptoms by altering hormone levels.
Rationale:
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A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the client to avoid while taking this drug?
- A. Caffeine
- B. Chocolate
- C. Nicotine
- D. Alcohol
- G. D
Correct Answer: Alcohol can cause a severe reaction with metronidazole, leading to nausea, vomiting, and other symptoms. Caffeine, chocolate, and nicotine do not interact with metronidazole.
Rationale:
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition is the priority.
- A. Cancer
- B. Heart Disease
- C. Diabetes
- D. Smoking
- G. B
Correct Answer: Heart disease is the leading cause of death among women globally (21% of deaths in 2019 per WHO), making it the priority for educational programs to raise awareness and promote prevention.
Rationale:
A nurse is assessing a male client recently diagnosed with genital herpes. Which finding would most likely correlate with this diagnosis?
- A. Reports of itching, tingling, and pain in the genital area
- B. Painful urination with a penile discharge present
- C. Wart-like flesh-colored lesions on the scrotal area
- D. A chancre on the penis
- G. A
Correct Answer: Genital herpes causes itching, tingling, and pain before painful blisters appear. Discharge suggests gonorrhea/chlamydia, warts suggest HPV, and a chancre indicates syphilis.
Rationale:
A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 20 gtt/min
- B. 15 gtt/min
- C. 25 gtt/min
- D. 30 gtt/min
- G. A
Correct Answer: Using the formula gtt/min = (mL/hr x drop factor) / 60, calculate: (120 x 10) / 60 = 20 gtt/min.
Rationale:
The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statements made by the students indicate teaching was successful? Select all that apply.
- A. Baby oil is an acceptable lubricant.
- B. Ensure a tight fit of the condom.
- C. Only use latex condoms.
- D. Place the condom on an erect penis.
- E. Store the condoms in a cool dry place.
- G. C,D,E
Correct Answer: Latex condoms are effective against STIs and pregnancy, unlike natural skin condoms. Condoms should be applied on an erect penis to prevent slippage, and stored in a cool, dry place to avoid damage. Baby oil degrades latex, and a tight fit increases breakage risk.
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