Nokea
How many mL of penicillin G benzathine should the nurse administer to treat syphilis if the dose is 2.4 million units and the concentration is 1,200,000 units/mL?
- A. 1 mL
- B. 2 mL
- C. 3 mL
- D. 4 mL
Correct Answer: B
Rationale: Calculation: 2.4 million units ÷ 1,200,000 units/mL = 2 mL.
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When planning a healthy diet with a pregnant patient, what should the nurse's first action be?
- A. Teach the patient about MyPlate.
- B. Review the patient's current dietary intake.
- C. Instruct the patient to limit the intake of fatty foods.
- D. Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.
Correct Answer: B
Rationale: The correct answer is B because reviewing the patient's current dietary intake is essential to assess their nutritional status and identify areas for improvement. This step helps the nurse understand the patient's eating habits, preferences, and potential deficiencies, laying the groundwork for personalized dietary recommendations. Option A is incorrect because teaching about MyPlate is premature without understanding the patient's current diet. Option C is incorrect as blanket advice to limit fatty foods may not be suitable for all pregnant patients. Option D is incorrect as cautioning about vitamins should come after assessing the patient's current intake to avoid unnecessary restrictions.
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 priority condition?
- A. Smoking
- B. Heart disease
- C. Diabetes
- D. Cancer
Correct Answer: B
Rationale: The group needs to address cardiovascular disease, the number one cause of death in women regardless of racial or ethnic group. Smoking is related to heart disease and the development of cancer. However, heart disease and cancer can occur in any woman regardless of her smoking history.
A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To obtain informed consent, which action would be most appropriate?
- A. Contacting the father for informed consent
- B. Obtaining informed consent from the mother
- C. Seeking a court ruling on the course of care
- D. Determining sole or joint custody by the parents
Correct Answer: D
Rationale: The most appropriate action would be to determine legal custody by court decree. If the parents have joint custody, then either parent may give consent, but it is always best to have consent given by both parents.
What is an appropriate response to a client asking if fibrocystic breast disease means she has breast cancer?
- A. I am so sorry. I am sure that the doctor will do everything possible to cure you of the cancer.
- B. I am not the best person to ask about your diagnosis. I suggest that you ask the doctor.
- C. If your lumps are round and mobile they are not cancerous, but if they are hard to the touch you probably do have cancer.
- D. You do not have cancer, but it is especially important for you to have regular mammograms to monitor for any changes.
Correct Answer: D
Rationale: Fibrocystic changes are benign but warrant monitoring.
When assessing a family for barriers to health care, the nurse documents the psychosocial barriers. What is an example of this type of health care deficit?
- A. Academic difficulties
- B. Respiratory illness
- C. Poor sanitation
- D. Inherited diseases
Correct Answer: A
Rationale: Environmental and psychosocial factors are now an identified area of concern in children. They include academic differences, complex psychiatric disorders, self-harm and harm to others, use of firearms, hostility at school, substance use disorder, HIV/AIDS, and adverse effects of the media.