Nokea
Nafarelin (Synarel) is used to treat mildtosevere endometriosis. What instruction or information should the nurse provide to a client regarding nafarelin administration?
- A. Nafarelin stimulates ovarian activity
- B. It should be administered by intramuscular (IM) injection
- C. Nafarelin should be administered by a subcutaneous implant
- D. It can cause the client to experience some hot flashes and vaginal dryness
Correct Answer: D
Rationale: Nafarelin is a GnRH agonist similar to menopause causing hot flashes and vaginal dryness as side effects. It is administered via nasal spray not IM or as an implant.
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Which female reproductive organ(s) is(are) responsible for cyclic menstruation?
- A. Uterus
- B. Ovaries
- C. Vaginal vestibule
- D. Urethra
Correct Answer: A
Rationale: The uterus is responsible for cyclic menstruation as it responds to hormonal changes during the menstrual cycle.
How would the physiologic process of the sexual response best be characterized?
- A. Coitus, masturbation, and fantasy
- B. Myotonia and vasocongestion
- C. Erection and orgasm
- D. Excitement, plateau, and orgasm
Correct Answer: B
Rationale: Sexual response is best characterized by the processes of myotonia and vasocongestion.
The nurse in labor and birth is caring for a Muslim patient during the active phase of labor. The nurse notes that the patient quickly draws away when touched. Which intervention should the nurse implement?
- A. Ask the charge nurse to reassign you to another patient.
- B. Assume that she does not like you and decrease your time with her.
- C. Continue to touch her as much as you need to while providing care.
- D. Limit touching to a minimum because physical contact may not be acceptable in her culture.
Correct Answer: D
Rationale: The appropriate intervention for the nurse to implement in this situation is to limit touching to a minimum because physical contact may not be acceptable in the patient's culture. In Islam, modesty and privacy are significant aspects of the faith, and physical contact, especially with someone of the opposite gender, may be considered inappropriate or uncomfortable for the patient. Respecting and acknowledging the patient's cultural background and preferences is essential in providing culturally competent care. Therefore, it is important for the nurse to be mindful of the patient's boundaries and minimize any unnecessary physical contact while still providing necessary care and support during labor.
The nurse is providing care to the 35-year-old female patient at the family practice clinic who is in the office for her annual physical examination. Which tests should the nurse recommend are the most appropriate for this patient? Select all that apply.
- A. Papanicolaou test every 5 years
- B. Mammogram every 2 years
- C. DEXA screen every 2 years
- D. HPV every 5 years
Correct Answer: A
Rationale: A. Papanicolaou test (Pap smear) every 5 years - This test is recommended for cervical cancer screening in women aged 30-65 years old. It helps in early detection and prevention of cervical cancer.
Which statement is most accurate regarding the reporting of IPV in the United States?
- A. Asian women report more IPV than do other minority groups.
- B. Caucasian women report less IPV than do non-Caucasians.
- C. Native-American women report IPV at a rate similar to other groups.
- D. African-American women are less likely to report IPV than Caucasian women.
Correct Answer: B
Rationale: Caucasian women report less IPV than other ethnic groups. Asian women report significantly less IPV. Native-American and Alaska Native women report significantly more IPV.