Nokea
A nurse providing dietary teaching for a client who is at 29 weeks of gestation and has phenylketonuriWhich of the following suggested foods should the nurse include in the teaching?
- A. A peanut butter sandwich on wheat bread
- B. A sliced apple and red grapes
- C. A chocolate chip cookie with a glass of skim milk
- D. A scrambled egg with cheddar cheese
Correct Answer: B
Rationale: Clients with phenylketonuria (PKU) should avoid high-protein foods such as dairy, eggs, and nuts, as they contain phenylalanine. A diet rich in fruits, vegetables, and low-protein foods is recommended to prevent cognitive impairment from phenylalanine accumulation.
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Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
- A. The nurse posts an update about a patient on Facebook.
- B. The nurse gives the report to the oncoming nurse in a private area.
- C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
- D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B
Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.
At the present time, which agency governs surrogate parenting?
- A. State law
- B. Federal law
- C. Individual court decision
- D. Protective child services
Correct Answer: A
Rationale: The correct answer is A: State law. Surrogate parenting is currently governed by state laws because family law matters, including surrogacy, fall under state jurisdiction. States have varying regulations and requirements for surrogate parenting arrangements. Federal law does not specifically address surrogate parenting. Individual court decisions may provide guidance but do not establish the overall governing framework. Protective child services do not typically have jurisdiction over surrogate parenting arrangements.
A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. Which of the following medications should the nurse plan to administer?
- A. Digoxin
- B. Calcium gluconate
- C. Vitamin B6
- D. Propranolol
Correct Answer: C
Rationale: Vitamin B6 (pyridoxine) is used to treat nausea and vomiting in pregnancy, including hyperemesis gravidarum.
A nurse is caring for a patient who has just been diagnosed with chlamydia and wants to know when she can have sex with her boyfriend again. What is the best response from the nurse?
- A. “You should not have sex until 7 days after you complete treatment and your partner gets treatment.”
- B. “You can have sex as soon as you finish the medicine.”
- C. “You can have sex once your partner takes the medicine.”
- D. “There is no need to wait.”
Correct Answer: A
Rationale: The correct answer is A. The rationale is as follows:
1. Chlamydia is a sexually transmitted infection that requires treatment to prevent transmission.
2. The patient should complete the full course of treatment to ensure the infection is cleared.
3. Waiting 7 days after completing treatment allows time for the medication to be effective and for the patient's partner to also receive treatment.
4. Having sex before completing treatment and ensuring the partner is treated can lead to re-infection and further transmission.
Therefore, choice A is the best response.
Summary of incorrect choices:
B: Incorrect as having sex immediately after finishing the medicine without waiting for partner treatment can lead to re-infection.
C: Incorrect as both partners need to complete treatment to prevent re-infection.
D: Incorrect as waiting is necessary to ensure the infection is fully treated and transmission is prevented.
The most conservative approach for early breast cancer treatment involves lumpectomy followed by which procedure?
- A. Radiation
- B. Adjuvant systemic therapy
- C. Hormonal therapy
- D. Chemotherapy
Correct Answer: A
Rationale: Radiation therapy is typically used after lumpectomy to treat early-stage breast cancer.