Nokea
What action is appropriate for a school nurse noticing a young woman with scars on her knuckles running to the bathroom after lunch?
- A. Nothing, because her behavior is normal.
- B. Question the young woman to see if she is being abused.
- C. Recommend that the young woman be seen by her doctor.
- D. Follow the young woman to the bathroom.
Correct Answer: C
Rationale: Medical evaluation is necessary to confirm suspected bulimia.
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The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:
- A. It would be a good idea because circumcision is known to prevent penile cancer.
- B. That's something you both will have to decide after you discuss it thoroughly with your doctor.
- C. The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure.
- D. I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'
Correct Answer: D
Rationale: Providing balanced information facilitates informed decision-making.
On examination the hands and feet of a 6 hours old infant is cyanotic without signs of distress. The nurse should document these findings as:
- A. Potential for respiratory distress
- B. Poor oxygenation
- C. Cold stress
- D. Acrocyanosis
Correct Answer: D
Rationale: Acrocyanosis is a normal finding in newborns.
What information should the nurse teach a client regarding emergency contraception (EC) after a sexual assault?
- A. EC is illegal in all 50 states.
- B. The most common side effect of EC is excessive vaginal bleeding.
- C. The same medicine that is used for EC is used to induce abortions.
- D. EC is best when used within 72 hours of contact.
Correct Answer: D
Rationale: EC is most effective when administered promptly.
After teaching a group of parents on childhood discipline, the nurse understands that which statement, made by a parent, demonstrates an understanding of spanking as a form of discipline?
- A. When responding to inappropriate behavior it is OK to lightly spank.
- B. Use a combination of spanking along with other methods of discipline.
- C. Use spanking as a last resort when time-out has failed.
- D. Use methods other than spanking to respond to inappropriate behavior.
Correct Answer: D
Rationale: Because of the negative consequences of spanking, and because it has been shown to be no more effective than other methods for managing inappropriate behavior, it is recommended that parents use methods other than spanking to respond to inappropriate behavior.
The nurse is discussing legal issues surrounding OB nursing. What statement might that nurse make?
- A. Legal issues are the concern of the OB.'
- B. I'm glad that people understand that all childbirth carries risk.'
- C. Medical malpractice insurance is cheap.'
- D. OB nurses are held to a standard of care and can be sued if proper care is not provided.'
Correct Answer: D
Rationale: The correct answer is D because OB nurses are indeed held to a standard of care and can be sued if proper care is not provided. OB nurses have a duty to ensure the safety and well-being of both the mother and the baby during childbirth. Failure to meet this standard of care can result in legal consequences such as being sued for medical malpractice.
Choice A is incorrect because legal issues surrounding OB nursing are not solely the concern of the OB, but rather a shared responsibility among all healthcare providers involved in the care of the mother and baby.
Choice B is incorrect as it does not directly address legal issues surrounding OB nursing, but rather focuses on the general understanding of childbirth risks.
Choice C is incorrect as medical malpractice insurance is not necessarily cheap, and the cost can vary depending on factors such as the nurse's experience, the hospital's history of malpractice claims, and the specific coverage needed.
In summary, choice D is the correct answer as it directly addresses the legal responsibilities and potential