Nokea
What client statement would most influence the nurse's teaching regarding contraceptive choices?
- A. I have 2 children.
- B. My partner and I have sex twice a week.
- C. I am 25 years old.
- D. I feel funny touching my private parts.
Correct Answer: D
Rationale: Comfort with intimate touch influences method selection.
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What is recognized as effective use of hormone replacement therapy (HRT)?
- A. No woman should ever take hormone replacement therapy.
- B. Women experiencing severe menopausal symptoms.
- C. Women with severe coronary artery disease.
- D. Women with a history of breast cancer.
Correct Answer: B
Rationale: HRT is beneficial for managing severe menopausal symptoms.
How many mL of penicillin G benzathine should the nurse administer to treat syphilis if the dose is 2.4 million units and the concentration is 1,200,000 units/mL?
- A. 1 mL
- B. 2 mL
- C. 3 mL
- D. 4 mL
Correct Answer: B
Rationale: Calculation: 2.4 million units ÷ 1,200,000 units/mL = 2 mL.
The nursing assessment of an infant reveals expiratory grunting, substernal retractions, and a temperature of 99° F (32.2° C). What is the first nursing action?
- A. Place the infant in Trendelenburg position.
- B. Begin administration of 40% humidified oxygen via hood.
- C. Increase the temperature of the environment
- D. Perform a complete assessment for congenital anomalies.
Correct Answer: B
Rationale: Oxygen administration addresses potential respiratory distress.
What statement by the nurse demonstrates an understanding of an ethical maternal-newborn dilemma?
- A. Female genital mutilation/cutting is a violation of human rights in the United States, but I can understand it is part of their culture.'
- B. I can't understand why the patient got mad when I checked her cervix. I just forgot to ask first.'
- C. Surrogacy should not happen because the surrogate is just in it for the money.'
- D. Every country should have abortion rights.'
Correct Answer: A
Rationale: Rationale: Answer A demonstrates an understanding of cultural relativism, acknowledging different cultural practices without condoning harmful acts. It respects cultural diversity while upholding human rights. Choices B, C, and D lack ethical consideration, empathy, and cultural sensitivity, making them incorrect. B shows a lack of respect for patient autonomy. C displays judgmental views on surrogacy. D oversimplifies a complex ethical issue. In summary, A is correct as it balances cultural understanding with the importance of human rights, while the other choices lack ethical awareness and sensitivity.
A nurse is working in a Level 4 hospital. What type of patient would the nurse expect to see?
- A. a first-time pregnant person with good fetal movement
- B. a pregnant person who needs neurosurgery
- C. a postpartum person with asthma
- D. a pregnant person who plans to birth in a birth center
Correct Answer: B
Rationale: The correct answer is B: a pregnant person who needs neurosurgery. In a Level 4 hospital, which is a facility capable of providing the highest level of care, the nurse can expect to see patients with complex and critical medical conditions like a pregnant person requiring neurosurgery. This level of hospital is equipped with advanced medical technology and specialists to handle such cases.
A: a first-time pregnant person with good fetal movement - This choice is incorrect as it does not specify any complex medical condition that would require the services of a Level 4 hospital.
C: a postpartum person with asthma - While asthma can be a serious condition, it does not necessarily require the highest level of care provided by a Level 4 hospital.
D: a pregnant person who plans to birth in a birth center - This choice is incorrect as it suggests a low-risk pregnancy that can be managed in a less intensive care setting than a Level 4 hospital.