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Maternity nurses can enhance communication among health care providers by using the SBAR technique. The acronym SBAR stands for what?
- A. Situation, background, assessment, recommendation
- B. Situation, baseline, assessment, recommendation
- C. Subjective, background, analysis, recommendation
- D. Subjective, background, analysis, review
Correct Answer: A
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation, which is a communication technique for providing important information.
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A client is 5 months pregnant. On a routine ultrasound scan, the physician discovers that the fetus has a diaphragmatic herniThe woman becomes distraught and asks the nurse what she should do. Which response would be most suitable?
- A. Talk to the client, and refer her to a genetic counselor.
- B. Suggest that the client travel to a fetal treatment center for intrauterine surgery.
- C. Tell her that everything is going to be fine.
- D. Sit with the client, and calmly suggest that she consider terminating this pregnancy.
Correct Answer: A
Rationale: Before the client makes any decisions, she should discuss this newly discovered information with a genetic counselor. Genetic counselors can help with the diagnosis and management of families affected by genetic conditions. The discussion of potential surgery should be pursuant to genetic counseling. Telling the woman that everything is going to be fine may give her false hope and is not accurate. All options should be discussed with the genetic counselor. Furthermore, the guiding principle for genetic counseling is nondirection, which respects the right of the individual or family who are being counseled to make autonomous decisions.
Which action would be inappropriate for the nurse to perform before beginning the health history interview?
- A. Smile and ask the client whether she has any special concerns.
- B. Speak in a relaxed manner with an even, nonjudgmental tone.
- C. Make the client comfortable.
- D. Tell the client her questions are irrelevant.
Correct Answer: D
Rationale: Telling the client that her questions are irrelevant is inappropriate. Nurses should make the client feel comfortable and respected.
The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group.
One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What
is the reasoning for this rationale?
- A. Diet and exercise will promote weight loss, which will decrease
hyperandrogenemia - B. Diet and exercise will decrease the risk of type 2 diabetes and gestational diabetes
- C. Diet and exercise will decrease serum lipid levels and lower the risk for
cardiovascular disease. - D. Diet and exercise will increase the frequency of ovulation and menstruation and
increase fertility.
Correct Answer: E
Rationale: I see that there is a mistake in the question. There is no option "E" provided. Could you please provide the correct answer choice or clarify the question?
Which statement about GIFT (gamete intrafallopian transfer) is most accurate?
- A. Semen is collected after laparoscopy.'
- B. Women must have two normal fallopian tubes.'
- C. Ovulation spontaneously occurs.'
- D. Ova and sperm are transferred to one tube.'
Correct Answer: D
Rationale: GIFT involves transferring both ova and sperm into one fallopian tube, allowing for natural fertilization. Laparoscopy is used to aspirate eggs, and semen is collected before the procedure.
The nurse would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?
- A. nausea
- B. fatigue
- C. dizziness
- D. diarrhea
Correct Answer: C
Rationale: The correct answer is C: dizziness. Dizziness during a PD-1 infusion can indicate a potential serious adverse reaction, such as immune-related neurological toxicity. Prompt reporting is crucial to prevent complications. Nausea, fatigue, and diarrhea are common side effects of PD-1 inhibitors but are typically not considered immediate concerns for infusion reactions. Reporting dizziness ensures timely assessment and intervention to manage any severe adverse effects.