Nokea
The nurse is providing preoperative education on the laparoscope-assisted vaginal hysterectomy. Which statement by the patient verifies understanding of the procedure?
- A. I will use a mild douche solution to keep the surgical area clean.
- B. I'm relieved that I won't have any visible scars on my abdomen.
- C. I understand that there will be some light vaginal bleeding for several days.
- D. I understand that I must remain on bedrest until cleared by the surgeon.
Correct Answer: B
Rationale: The correct statement by the patient that demonstrates understanding of the laparoscope-assisted vaginal hysterectomy procedure is "I'm relieved that I won't have any visible scars on my abdomen." This is a relevant and accurate statement as the procedure involves minimal scarring due to the use of small incisions in the abdomen rather than a large incision. It shows understanding of one of the benefits of this surgical approach. The other statements are not accurate or relevant to the procedure.
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The clinic nurse often cares for patients who are considering an abortion. Which responsibilities does this nurse have in regard to this issue? (Select all that apply.)
- A. Informing the patient about pro-life options
- B. Informing the patient about pro-choice support groups
- C. Being informed about abortion from a legal standpoint
- D. Being informed about abortion from an ethical standpoint
Correct Answer: B
Rationale: B. Informing the patient about pro-choice support groups: It is important for the clinic nurse to provide patients with information about different support resources available, including pro-choice support groups, to ensure they have access to a variety of perspectives and guidance.
The nurse is caring for a patient receiving chemotherapy. What nursing intervention would they provide?
- A. Administer antibiotics.
- B. Administer antiemetics.
- C. Encourage physical activity after infusion.
- D. Encourage eating a large meal.
Correct Answer: B
Rationale: Patients receiving chemotherapy often experience nausea and vomiting as common side effects. Antiemetics are medications specifically designed to help manage and prevent these symptoms. By administering antiemetics, the nurse can help the patient feel more comfortable and reduce the risk of dehydration and other complications associated with nausea and vomiting. This intervention is crucial in supporting the patient's overall well-being and enhancing their quality of life during chemotherapy treatment.
The nurse is providing education on the prevention of heart disease for adult females ages 35 to 44 years old.Which of the following would be most appropriate for this disease process? Select all that apply.
- A. Taking a brisk walking for 50 minutes three times a week
- B. Consuming a diet rich in vegetables, fruits, and whole grains
- C. Obtaining a varicella vaccine, if no evidence of immunity
- D. Recognizing the importance of smoking cessation
Correct Answer: A
Rationale: A. Selecting "A" because physical activity, such as brisk walking, is beneficial for heart health. Regular exercise helps in maintaining a healthy weight, lowering blood pressure, and improving overall cardiovascular health.
The nurse is educating a 24-year-old female patient who was newly diagnosed with polycystic ovary syndrome (PCOS). The patient was prescribed an antidiabetic medication. Which medication effects should the nurse educate the patient about? Select all that apply.
- A. A period of initial weight gain
- B. A change in her integumentary system
- C. Low blood sugar until her hormones stabilize
- D. Decreased likelihood of pregnancy
Correct Answer: A
Rationale: A. A period of initial weight gain: The nurse should educate the patient about the potential for initial weight gain when starting an antidiabetic medication. This can be a common side effect, and it is important for the patient to be aware of it to avoid unnecessary concern. Weight gain may occur due to factors such as fluid retention or changes in metabolism.
A Vietnamese patient who speaks little English is admitted to the labor and birth unit in early labor. The nurse plans to use an interpreter during an initial assessment. Which should the nurse plan to implement with regard to using an interpreter? (Select all that apply.)
- A. Face the interpreter when speaking.
- B. Listen carefully to what the patient says.
- C. Speak slowly and smile when appropriate.
- D. Plan to use a male interpreter, even if a female interpreter is available.
Correct Answer: A
Rationale: A. Face the interpreter when speaking: By facing the interpreter when speaking, the nurse ensures clear communication and demonstrates respect for the interpreter's role in facilitating understanding between the patient and healthcare provider.