Nokea
The nurse enters the person's room for the first time. What can the nurse do to show cultural sensitivity?
- A. Come in and sit on the bed with the person.
- B. Address the person by their first name.
- C. Make and hold eye contact.
- D. Document their preferred language in their chart.
Correct Answer: D
Rationale: The correct answer is D because documenting the person's preferred language in their chart shows cultural sensitivity by ensuring effective communication. This step acknowledges and respects the person's cultural background and language preferences, facilitating better understanding and care provision.
Choices A, B, and C are incorrect:
A: Sitting on the bed may invade personal space and not be culturally appropriate.
B: Addressing the person by their first name may not be respectful in some cultures.
C: Making and holding eye contact may be considered rude or inappropriate in certain cultures.
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A pregnant patient who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for
- A. postmature birth.
- B. sexually transmitted diseases.
- C. hypotension and vasodilation.
- D. depression of the central nervous system.
Correct Answer: B
Rationale: The correct answer is B: sexually transmitted diseases. Exchanging sex for drugs increases the risk of acquiring STDs due to engaging in unprotected sex with multiple partners. This behavior exposes the patient to infections such as HIV, syphilis, gonorrhea, and others. STDs can have serious consequences for both the pregnant patient and the fetus, including transmission of infections during childbirth or pregnancy complications.
A: postmature birth is incorrect as it is not directly related to the behavior described.
C: hypotension and vasodilation are potential effects of cocaine abuse, but not directly related to the increased risk of STDs in this scenario.
D: depression of the central nervous system is a potential effect of cocaine abuse but is not the primary concern in this situation.
A postpartum client calls the pediatric clinic to report that her 4-day old female newborn has a spot of blood on her diaper. Which of the following statements made by the nurse is most appropriate?
- A. Your newborn may have a urinary infection, continue to breastfeed frequently
- B. Your newborn has jaundice so it may need phototherapy
- C. This is a normal finding due to withdrawal of maternal hormones
- D. Your baby has an immature immune system, continue to breastfeed frequently
Correct Answer: C
Rationale: The correct answer is C because the spot of blood on the diaper of a 4-day old female newborn is a normal finding due to the withdrawal of maternal hormones. During pregnancy, the baby is exposed to maternal hormones, and after birth, the sudden decrease in these hormones can cause a temporary withdrawal bleeding. This is known as pseudomenstruation and is common in newborn girls. It is important for the nurse to reassure the mother that this is a normal and harmless occurrence.
Choice A is incorrect because urinary infection is not typically the cause of blood on the diaper in a newborn. Choice B is incorrect because jaundice does not typically present with blood in the diaper. Choice D is incorrect because while breastfeeding is important for the baby's immune system, it is not directly related to the presence of blood on the diaper in this case.
A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis. Which of the following instructions should the nurse include?
- A. Retract the foreskin until you feel resistance.
- B. Use a cotton swab to clean under the foreskin.
- C. Apply petroleum jelly to the foreskin.
- D. Wash the penis once per day with soup and water.
Correct Answer: D
Rationale: The correct answer is D because washing the penis once per day with soap and water is the appropriate way to care for an uncircumcised penis. This helps maintain good hygiene and prevents infections. Retracting the foreskin forcefully (Choice A) can cause injury and should not be done until the child is older. Using a cotton swab (Choice B) can leave fibers behind and may cause irritation. Applying petroleum jelly (Choice C) is unnecessary and can increase the risk of infections. Therefore, washing the penis with soap and water daily is the most effective and safe method for caring for an uncircumcised penis.
After ovulation, what does the ruptured follicle in the ovary transform into?
- A. Corpus luteum
- B. Corpus cavernosum
- C. Corpus callosum
- D. Corpus albicans
Correct Answer: A
Rationale: After ovulation, the ruptured follicle transforms into the corpus luteum. This structure secretes hormones like progesterone to prepare the uterus for potential pregnancy. The other choices are incorrect because:
B: Corpus cavernosum is erectile tissue found in the penis.
C: Corpus callosum is a structure in the brain connecting the two hemispheres.
D: Corpus albicans is the remnant of the corpus luteum if pregnancy doesn't occur.
A nurse is giving post-op teaching to a person after a surgical abortion. What education should be provided?
- A. Report bleeding that is heavy, soaks more than two pads per hour for 2 hours.
- B. You can resume vaginal coitus the next day.
- C. You do not need to return to the clinic for follow-up.
- D. You should use tampons if your bleeding is heavy.
Correct Answer: A
Rationale: The correct answer is A because heavy bleeding post-surgical abortion can indicate a complication like hemorrhage, so prompt reporting is crucial. Choice B is incorrect as resuming vaginal intercourse too soon can increase the risk of infection. Choice C is incorrect because follow-up care is essential to monitor for complications. Choice D is incorrect as tampons should be avoided to reduce the risk of infection. In summary, choice A is correct as it prioritizes patient safety and early detection of complications.