Nokea
The nurse is developing a community health education program about sexually transmitted diseases. Which information about women who acquire gonorrhea should be included?
- A. Women are more reluctant than men to seek medical treatment.
- B. Gonorrhea is not easily transmitted to women who are menopausal.
- C. Women with gonorrhea are usually asymptomatic.
- D. Gonorrhea is usually a mild disease for women.
Correct Answer: C
Rationale: Women with gonorrhea are often asymptomatic, which increases the risk of delayed treatment and complications, a key point for education.
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A client with a history of chronic kidney disease is prescribed sodium polystyrene sulfonate (Kayexalate). The nurse should explain that this medication works by:
- A. Reducing blood pressure.
- B. Binding potassium in the gut.
- C. Increasing urine output.
- D. Decreasing blood glucose.
Correct Answer: B
Rationale: Sodium polystyrene sulfonate binds potassium in the gut, reducing serum potassium levels in chronic kidney disease.
A client is receiving a transfusion of packed red blood cells. Which of the following actions should the nurse implement to safely administer the blood?
- A. Keep the blood refrigerated on the nursing unit until ready to administer.
- B. Stay with the client during the first 15 minutes to detect signs or symptoms of a reaction.
- C. Do not infuse blood that has been hanging for more than 6 hours.
- D. Administer the blood quickly to prevent wasting it if the client develops a fever.
Correct Answer: B
Rationale: Staying with the client for the first 15 minutes is critical to monitor for acute transfusion reactions, which are most likely to occur early.
The primary distinguishing characteristic of risk management when compared and contrasted to performance improvement is that risk management activities focus on:
- A. Historical data and performance improvement activities focus on current data.
- B. Current data and performance improvement activities focus on historical data.
- C. Decreasing financial liability and performance improvement activities focus on process improvements.
- D. Decreasing falls and performance improvement activities focus on process improvements.
Correct Answer: C
Rationale: Risk management focuses on decreasing financial liability by mitigating risks, while performance improvement focuses on enhancing processes and outcomes.
The nurse is assessing a newborn 24 hours after birth. Which finding requires immediate reporting?
- A. Milia on the nose
- B. Mongolian spots on the back
- C. Caput succedaneum
- D. Yellowing of the skin
Correct Answer: D
Rationale: Yellowing of the skin within 24 hours suggests pathological jaundice, requiring immediate evaluation to prevent complications like kernicterus.
A child with the diagnosis of Hirschsprung's disease has a temporary colostomy. The nurse provides instructions to the parents about colostomy care at home. Which statement by the parents indicates their understanding of the instructions?
- A. We will give antidiarrheal medications.
- B. We will report signs of skin breakdown.
- C. We will give saline water enemas if my child doesn't pass stool.
- D. We will apply a heat lamp to any moist red tissue around the stoma.
Correct Answer: B
Rationale: The parents are instructed to report signs of skin breakdown or stomal complications, such as ribbonlike stools or failure to pass flatus or stools, to the primary health care provider or the nurse. Moist, red granulation tissue may grow around an ostomy site and does not require special treatment. The remaining options are incorrect actions and considered contraindicated.