Nokea
To facilitate obtaining truthful information regarding this client's sexual history, which attitude is most important for the nurse to convey?
- A. Authoritative
- B. Nonjudgmental
- C. Encouraging
- D. Optimistic
Correct Answer: B
Rationale: A nonjudgmental attitude fosters trust, encouraging the client to provide honest sexual history information without fear of stigma.
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The nurse is discussing pelvic floor exercises with a client. Which information should the nurse teach?
- A. Perform the exercises four (4) times per day.
- B. The exercises will prevent stress incontinence.
- C. Contract the perineal muscles and hold for 10 seconds.
- D. Contract the abdominal and buttock muscles to increase strength.
Correct Answer: C
Rationale: Kegel exercises involve contracting perineal muscles for 10 seconds to strengthen the pelvic floor. Frequency varies, they reduce but don’t prevent incontinence, and abdominal/buttock contraction is incorrect.
Which instruction is appropriate to include when providing the client with oral contraceptive teaching?
- A. Take oral contraceptives at the same time each day.
- B. Take oral contraceptives on an empty stomach.
- C. Take oral contraceptives on the first day of menses.
- D. Take oral contraceptives in the morning with food.
Correct Answer: A
Rationale: Taking oral contraceptives at the same time daily ensures consistent hormone levels, maximizing efficacy.
The client diagnosed with gestational diabetes delivered a 10-pound 5-ounce infant. Which is priority for the nursery nurse to monitor?
- A. Failure to latch on to the breast during feeding.
- B. Jaundice and clay-colored stools.
- C. Parchment-like skin and lack of lanugo.
- D. Low blood glucose readings.
Correct Answer: D
Rationale: Macrosomic infants from gestational diabetes are at risk for hypoglycemia; monitoring blood glucose is priority. Latching issues, jaundice, and skin changes are secondary.
The nurse is caring for a client newly diagnosed with Stage IV ovarian cancer. What is the scientific rationale for detecting the tumors at this stage?
- A. The client’s ovaries lie deep within the pelvis and early symptoms are vague.
- B. The client has regular gynecological examinations and this helps with detection.
- C. The client had a history of dysmenorrhea and benign ovarian cysts.
- D. The client had a family history of breast cancer and was being checked regularly.
Correct Answer: A
Rationale: Ovarian cancer is often diagnosed at Stage IV due to vague early symptoms and deep pelvic location, delaying detection. Regular exams, dysmenorrhea, or breast cancer history do not ensure early detection.
The client is diagnosed with breast cancer and is considering whether to have a lumpectomy or a more invasive procedure, a modified radical mastectomy. Which information should the nurse discuss with the client?
- A. Ask if the client is afraid of having general anesthesia.
- B. Determine how the client feels about radiation and chemotherapy.
- C. Tell the client she will need reconstruction with either procedure.
- D. Find out if the client has any history of breast cancer in her family.
Correct Answer: B
Rationale: Discussing feelings about radiation and chemotherapy is key, as lumpectomy often requires radiation, while mastectomy may involve chemotherapy. Anesthesia fears, mandatory reconstruction, and family history are less relevant to the procedure choice.