Nokea
The nurse is assessing a patient’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)
- A. Practicing yoga daily
- B. Drinking green tea in the morning
- C. Taking omeprazole (Prilosec) once a day
- D. Using aromatherapy during a relaxing bath
Correct Answer: A
Rationale: The correct answer is A because practicing yoga daily is a recognized complementary therapy that promotes physical and mental well-being. Yoga has been shown to reduce stress, improve flexibility, and enhance overall health.
B is incorrect as drinking green tea is considered a dietary choice rather than a specific alternative therapy practice. C is incorrect as taking omeprazole is a conventional medication for acid reflux, not a complementary therapy. D is incorrect as aromatherapy is a complementary therapy, but using it during a relaxing bath is not a specific practice related to alternative therapies.
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To provide culturally competent care to an Asian-American family, which question should the nurse include during the assessment interview?
- A. Do you prefer hot or cold beverages?
- B. Do you want some milk to drink?
- C. Do you want music playing while you are in labor?
- D. Do you have a name selected for the baby?
Correct Answer: A
Rationale: Asian-American families may have cultural preferences for warm beverages, especially during labor and delivery. Offering milk may be inappropriate as many in this group exclude milk from their diet. Silence is preferred during labor, and baby naming may be delayed in some traditions.
The health history and physical examination cannot reliably identify all persons infected with HIV or other blood-borne pathogens. Which infection control practice should the nurse use when providing eye prophylaxis to a term newborn?
- A. Wear gloves.
- B. Wear mouth, nose, and eye protection.
- C. Wear a mask.
- D. Wash the hands after medication administration.
Correct Answer: A
Rationale: Standard precautions require the use of gloves when providing eye prophylaxis to a newborn.
The nurse at a family practice clinic is providing care to a 47-year-old obese patient. The patient
states that she realizes that she has put on extra weight but is reluctant to go to any exercise
classes. She states that she often has to cross her legs when she sneezes and cannot do any
exercises with her legs crossed. The health care provider has prescribed tolterodine (Detrol). What
is the rationale for this medication?
- A. Tolterodine is used to treat overactive bladders and to decrease urinary frequency,
urgency, and urge incontinence. - B. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas.
- C. Tolterodine is used to facilitate weight loss by acting as an appetite suppressant.
- D. Tolterodine is used to improve blood flow to the pelvic muscles to decrease
urinary tract infections.
Correct Answer: B
Rationale: The correct answer is B: Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas. Tolterodine is a medication used to treat overactive bladders by relaxing the bladder muscles, reducing urinary urgency, frequency, and urge incontinence. Improving tone and tissue in the urethral and vaginal areas can help in controlling bladder function. Choices A, C, and D are incorrect because tolterodine does not act as an appetite suppressant, facilitate weight loss, or improve blood flow to pelvic muscles to decrease urinary tract infections. The primary mechanism of action of tolterodine is related to bladder muscle relaxation rather than weight loss or blood flow improvement.
Which resource best describes a health care service representing the tertiary level of prevention?
- A. Stress management seminars
- B. Childbirth education classes for single parents
- C. BSE pamphlet and teaching
- D. Premenstrual syndrome (PMS) support group
Correct Answer: D
Rationale: A PMS support group represents tertiary prevention, addressing a condition post-occurrence. Primary prevention includes stress management, childbirth education, and BSE pamphlets, which focus on health promotion and early detection.
Which information regarding substance abuse is important for the nurse to understand?
- A. Cigarette smoking has little effect on maternity-related health.
- B. Women, ages 21 to 34 years, have the highest rates of specific alcohol-related problems.
- C. Coffee is a stimulant that has been related to birth defects.
- D. Prescription psychotherapeutic drugs do not affect the fetus.
Correct Answer: B
Rationale: Alcohol abuse during pregnancy has been associated with many negative outcomes. Cigarette smoking impairs fertility and causes low-birth-weight infants.