Nokea
The nurse should be aware that a pessary is most effective in the treatment of which disorder?
- A. Cystocele
- B. Uterine prolapse
- C. Rectocele
- D. Stress urinary incontinence
Correct Answer: B
Rationale: A fitted pessary may be inserted into the vagina to support the uterus and hold it in the correct position. Usually a pessary is used for only a short time and is not used for the client with a cystocele. A rectocele cannot be corrected.
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While interviewing a 31-year-old woman before her routine gynecologic examination the nurse collects data about the client's recent menstrual cycles. Which statement by the client should prompt the nurse to collect further information?
- A. My menstrual flow lasts 5 to 6 days
- B. My flow is very heavy
- C. The length of my menstrual cycles varies from 26 to 29 days
- D. I have had a small amount of spotting midway between my periods for the past 2 months
Correct Answer: B
Rationale: Heavy bleeding (menorrhagia) requires further investigation as it could indicate an underlying condition. A menstrual cycle of 5-6 days or slight spotting midway are normal.
At the present time, which agency governs surrogate parenting?
- A. State law
- B. Federal law
- C. Individual court decision
- D. Protective child services
Correct Answer: A
Rationale: The correct answer is A: State law. Surrogate parenting laws are primarily regulated at the state level in the United States. Each state has its own laws and regulations regarding the legality and requirements of surrogate parenting arrangements. Federal law does not specifically govern surrogate parenting. While individual court decisions may impact specific cases, they do not set overarching regulations for surrogate parenting. Protective child services focus on the welfare and protection of children in cases of abuse or neglect, not on the legality of surrogate parenting arrangements. Thus, state law is the correct answer as it is the primary authority governing surrogate parenting.
A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
- A. There is stratification of communication in a directed manner between nursing staff and administration.
- B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
- C. Physicians are certified in their respective specialty areas.
- D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B
Rationale: The correct answer is B. Magnet status focuses on nursing excellence, including job satisfaction and low turnover rates. A is incorrect as it describes hierarchical communication. C is irrelevant to nursing excellence. D is incorrect as while education and certification are important, they are not mandatory for Magnet status.
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
- A. The nurse posts an update about a patient on Facebook.
- B. The nurse gives the report to the oncoming nurse in a private area.
- C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
- D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B
Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.
After delivery, excess hypertrophied tissue in the uterus undergoes a period of self-destruction. What is the correct term for this process?
- A. Autolysis
- B. Subinvolution
- C. Afterpains
- D. Diastasis
Correct Answer: A
Rationale: Autolysis is caused by a decrease in hormone levels, leading to the self-destruction of excess uterine tissue.