Nokea
What information regarding the dangers of tattooing should the nurse provide for this client? Select all that apply.
- A. Tattooing can lead to skin cancer.
- B. There can be an allergic reaction to the tattoo ink.
- C. Tattooing can result in skin infections.
- D. There is a risk for contracting hepatitis B and human immunodeficiency virus (HIV) if dirty needles are used in tattooing.
- E. Tattooing can cause spontaneous abortions in pregnant women.
- F. Tattooing can result in heart and lung conditions.
Correct Answer: B,C,D
Rationale: Tattooing risks include allergic reactions to ink, skin infections from unsterile equipment, and bloodborne infections like hepatitis B and HIV from contaminated needles. Skin cancer, abortions, and heart/lung conditions are not directly linked.
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Which intervention is most appropriate initially for an 8-year-old child who selects the fourth face on the Wong-Baker FACES Pain Rating Scale?
- A. Take no action; the child is pain-free.
- B. Provide diversional activities to relieve the child's pain.
- C. Document findings, and recheck the child later.
- D. Give the prescribed analgesic to relieve the pain.
Correct Answer: D
Rationale: The fourth face on the Wong-Baker FACES Pain Rating Scale indicates moderate to severe pain, requiring administration of a prescribed analgesic for effective pain relief.
Total bishops score is:
- A. 10
- B. 8
- C. 6
- D. 4
- E. 13
Correct Answer: E
Rationale: The Bishop score assesses cervical readiness for labor with a maximum of 13 points (dilation effacement station consistency position). Higher scores indicate better inducibility.
Cardiac output is highest in:
- A. 1st trimester.
- B. 2nd trimester.
- C. 3rd trimester.
- D. During labour.
- E. During delivery.
Correct Answer: E
Rationale: Cardiac output peaks during delivery due to increased demand from uterine contractions and maternal effort. It rises progressively during pregnancy but is highest at delivery.
The full-term newborn is placed under phototherapy lights to treat hyperbilirubinemia. The nurse should assess the newborn for dehydration due to which effect of phototherapy?
- A. Decreases sodium absorption
- B. Increases absorption of bilirubin
- C. Decreases urinary output
- D. Increases insensible water loss
Correct Answer: D
Rationale: Phototherapy increases insensible water loss risking dehydration. It breaks down bilirubin for excretion not absorption and doesn’t directly affect sodium or urinary output.
The nurse is caring for a 30-year-old,single female who delivered a term newborn. What is the best way for the nurse to assess the impact of the newborn on the client’s lifestyle?
- A. Observe how the client interacts with her hospital visitors.
- B. Review the prenatal record for clues about the client’s lifestyle.
- C. Ask the client what plans she has made for newborn care at home.
- D. Observe the relationship between the client and her newborn’s father.
Correct Answer: C
Rationale: Open-ended questions about newborn care plans encourage sharing of lifestyle adjustments especially for single parents. Visitors prenatal records or father involvement are less direct.