Nokea
The nurse is teaching a parenting class to new parents. Which statement should the nurse include in the teaching session about the characteristics of a healthy family?
- A. Adults agree on the majority of basic parenting principles.
- B. The parents and children have rigid assignments for all the family tasks.
- C. Young families assume total responsibility for the parenting tasks, refusing any assistance.
- D. The family is overwhelmed by the significant changes that occur as a result of childbirth. N R I G B.C M U S N T O
Correct Answer: A
Rationale: The statement the nurse should include in the teaching session about the characteristics of a healthy family is that "Adults agree on the majority of basic parenting principles." This is because in a healthy family, it is crucial for adults to be on the same page when it comes to fundamental parenting principles. Having a shared understanding of how to raise children helps create consistency in parenting approaches, which is beneficial for the overall well-being of the family unit. Collaboration and agreement on parenting principles also lead to effective communication and support between parents, fostering a positive and nurturing environment for children to grow and thrive.
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The nurse is preparing to teach the community about risk factors for the second most common cancer of the female reproductive system. Which of the following groups of women are at higher risk for this cancer? Select all that apply.
- A. Menopausal women with an intact uterus who receive hormonal therapy
- B. Women who have undergone treatment for breast cancer
- C. Women who have many pregnancies and nursed their infants
- D. Women who smoke and have many sexual partners
Correct Answer: A
Rationale: A. Menopausal women with an intact uterus who receive hormonal therapy are at higher risk for endometrial cancer, which is the second most common cancer of the female reproductive system. Estrogen therapy without progesterone can increase the risk of endometrial cancer due to unopposed estrogen stimulation.
Which goal is most appropriate for the collaborative problem of wound infection?
- A. The patient will not exhibit further signs of infection.
- B. Maintain the patient’s fluid intake at 1000 mL/8 hour.
- C. The patient will have a temperature of 98.6F within 2 days.
- D. Monitor the patient to detect therapeutic response to antibiotic therapy.
Correct Answer: A
Rationale: The most appropriate goal for the collaborative problem of wound infection is "The patient will not exhibit further signs of infection." This goal directly addresses the issue of controlling and resolving the infection within the wound, leading to the overall improvement in the patient's condition. By ensuring that the patient does not exhibit further signs of infection, healthcare providers can monitor the effectiveness of treatment interventions and prevent any complications that may arise from the infection spreading or worsening. In contrast, options B, C, and D are not directly related to addressing the wound infection itself, making them less appropriate goals for this specific problem.
The nurse is preparing to teach the community about risk factors for the second most common cancer of the female reproductive system. Which of the following groups of women are at higher risk for this cancer? Select all that apply.
- A. Menopausal women with an intact uterus who receive hormonal therapy
- B. Women who have undergone treatment for breast cancer
- C. Women who have many pregnancies and nursed their infants
- D. Women who smoke and have many sexual partners
Correct Answer: A
Rationale: A. Menopausal women with an intact uterus who receive hormonal therapy are at higher risk for endometrial cancer, which is the second most common cancer of the female reproductive system. Estrogen therapy without progesterone can increase the risk of endometrial cancer due to unopposed estrogen stimulation.
A nurse is caring for a patient who has HSV and is pregnant. The patient is concerned about the fetus. What medication is safest to take?
- A. valacyclovir
- B. none
- C. acyclovir
- D. famciclovir
Correct Answer: C
Rationale: Acyclovir is the antiviral medication of choice for treating HSV (Herpes Simplex Virus) infections during pregnancy due to its known safety profile. It is classified as Category B by the FDA, indicating that there is no evidence of risk to the fetus based on animal studies. Valacyclovir and famciclovir, on the other hand, are both classified as Category B (risk cannot be ruled out) and Category C (animal studies have shown adverse effects) by the FDA, respectively. It is generally recommended to avoid taking unnecessary medications during pregnancy, but if treatment for HSV is necessary, acyclovir is considered the safest option.
What information would the nurse include when teaching a patient about core needle biopsy?
- A. It can be performed with or without ultrasound guidance.
- B. Local anesthetic is not needed before this procedure.
- C. It is usually performed in the outpatient surgery center.
- D. A special dye is injected into the area around the tumor.
Correct Answer: C
Rationale: Core needle biopsy is typically performed in an outpatient setting such as a clinic or outpatient surgery center. This procedure involves using a hollow needle to extract a small tissue sample from the suspicious area for further examination. Performing the core needle biopsy in an outpatient setting allows for a more convenient and efficient process for both patients and healthcare providers. Additionally, outpatient facilities are equipped to handle minor procedures like core needle biopsies in a safe and controlled environment.