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A nurse is caring for a patient who was just diagnosed with VVC. What treatment does the nurse expect to teach the patient about?
- A. metronidazole (anti-protozoal)
- B. penicillin G (antibiotic)
- C. clotrimazole (antifungal)
- D. ampicillin (antibiotic)
Correct Answer: C
Rationale: The correct answer is C: clotrimazole (antifungal). VVC stands for vulvovaginal candidiasis, which is a fungal infection. Clotrimazole is an antifungal medication commonly used to treat VVC by inhibiting the growth of the fungus. Metronidazole (choice A) is an anti-protozoal agent used for parasitic infections, not fungal infections. Penicillin G (choice B) and ampicillin (choice D) are both antibiotics used to treat bacterial infections, not fungal infections like VVC. Therefore, the nurse would expect to teach the patient about using clotrimazole to treat VVC.
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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: Practicing yoga daily. Yoga is considered a complementary therapy as it focuses on integrating the mind, body, and spirit for overall well-being. It is a holistic approach that complements traditional medical treatments.
- B: Drinking green tea in the morning is a healthy habit but not specifically categorized as a complementary or alternative therapy.
- C: Taking omeprazole is a conventional medication for acid reflux and not considered an alternative or complementary therapy.
- D: Using aromatherapy during a relaxing bath is a complementary therapy, but the question asked for alternative or complementary therapy practices, not both.
Which statement best exemplifies contemporary maternity nursing?
- A. Use of midwives for all vaginal deliveries
- B. Family-centered care
- C. Free-standing birth clinics
- D. Physician-driven care
Correct Answer: B
Rationale: Contemporary maternity nursing focuses on the family's needs and desires, with both midwives and physicians providing care.
A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition?
- A. Cryosurgery
- B. Colposcopy
- C. Hysterectomy
- D. Internal radiation
Correct Answer: A
Rationale: Cryosurgery, laser surgery, and loop electrosurgical excision procedure (LEEP) are techniques used to treat preinvasive lesions. Colposcopy is the examination of the cervix with a stereoscopic binocular microscope that magnifies the view of the cervix.
Expectant parents ask a prenaNtal RnursIe eGducaBto.rC, “WMhich setting for childbirth limits the U S N T O amount of parent–infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?
- A. Birth center
- B. Home birth
- C. Traditional hospital birth
- D. Labor, birth, and recovery room
Correct Answer: C
Rationale: Rationale:
1. Traditional hospital birth setting often involves medical interventions that can limit parent-infant interaction, such as continuous fetal monitoring and medication administration.
2. These interventions may restrict movement and bonding opportunities between the parent and infant during labor and immediately after birth.
3. In contrast, birth center and home birth settings typically prioritize natural childbirth experiences with minimal interventions to encourage bonding and parent-infant interaction.
4. Labor, birth, and recovery room, while providing a more private setting than a traditional hospital, may still involve medical interventions that can impact parent-infant interaction.
Summary:
A: Birth center and B: Home birth promote parent-infant interaction. D: Labor, birth, and recovery room may still involve interventions. C: Traditional hospital birth setting often limits parent-infant interaction due to medical interventions.
A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share?
- A. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts.
- B. It is a premalignant disorder characterized by lumps found in the breast tissue.
- C. Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles.
- D. Lumpiness is accompanied by tenderness after menses.
Correct Answer: C
Rationale: Fibrocystic changes are palpable thickenings in the breast usually associated with pain and tenderness. The pain and tenderness fluctuate with the menstrual cycle. They are not premalignant changes and tenderness most often occurs before menses.