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A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?
- A. Tell the client that there is a high probability that her baby will have a birth defect.
- B. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe.
- C. Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication.
- D. Tell the client that there is a high probability of a stillbirth.
Correct Answer: B
Rationale: Tylenol in recommended doses is generally safe during pregnancy. The nurse should reassure the client.
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A community health nurse is providing education about the “Dietary Approaches to Stop Hypertension” (DASH) eating plan. Which of the following recommendations would be included in this presentation?
- A. The use of this dietary plan has the same health effects as a daily exercise program.
- B. The use of this dietary plan will eliminate the need for medication to treat hypertension.
- C. This dietary plan excludes the consumption of processed foods.
- D. This dietary plan includes eating greater amounts of fruits and vegetables.
Correct Answer: D
Rationale: The DASH plan encourages eating more fruits and vegetables to help lower blood pressure.
Which of the following behaviors exemplifies a toddler working through his developmental task?
- A. Clinging to his mother
- B. Refusing to take a bath
- C. Playing quietly with one toy
- D. Having no interest in a new toy
Correct Answer: B
Rationale: Refusing to take a bath is a typical sign of a toddler asserting their autonomy, a key developmental task.
A 4-year-old girl asks her mother for a second cup of yogurt before starting to eat the first cup she was given. What will the child most likely do with the extra helping?
- A. Eat it herself.
- B. Ask her brother if he wants it.
- C. Feed it to her dog.
- D. Give it to her imaginary friend.
Correct Answer: D
Rationale: Preschoolers often have imaginary friends, and this extra yogurt might be for them.
Which of the following best describes a primary prevention method for colon cancer?
- A. Hemoccult testing
- B. High fiber diet
- C. Colonoscopy
- D. Laparoscopy
Correct Answer: B
Rationale: A high fiber diet is a primary prevention method, while Hemoccult testing and colonoscopy are forms of screening.
What should the nurse include in a program about STDs for young adults?
- A. STDs are the third most common infection in young adults.
- B. STDs can only be transmitted through sexual intercourse.
- C. STDs usually occur as a single infection.
- D. STDs are the most common reason for health center visits.
Correct Answer: B
Rationale: STDs can be transmitted by all forms of intimate contact, including oral and anal sex.