What is the best response by the nurse regarding condoms plus spermicide for contraception and infection prevention?
- A. That is correct. It is best to use a condom with spermicide during every sexual contact.
- B. That is true, except if you have intercourse twice in one evening. Then you do not have to apply more spermicide.
- C. That is not true. It has been shown that condoms alone are very effective and that the spermicide might increase the transmission of some viruses.
- D. That is not necessarily true. Spermicide has been shown to cause cancer in men and women who use it too frequently.
Correct Answer: A
Rationale: Combining condoms and spermicide enhances protection against pregnancy and STIs.
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The best indication that correct attachment to the breast has occurred is when the:
- A. Baby's tongue is securely on top of the nipple.
- B. Baby's mouth covers most of the areolar surface
- C. Baby makes frequent loud clucking sounds while nursing at each breast
- D. Baby sucks each breast vigorously for five minutes before falling asleep
Correct Answer: B
Rationale: Proper latch includes covering most of the areola.
What is the best response by the nurse when a parent questions why their newborn needs hepatitis B vaccination?
- A. The hepatitis B vaccine is given to all babies. It is given because many babies get infected from their mothers during pregnancy.
- B. It is important for your baby to get the vaccine in the hospital because the shot may not be available when your child gets older.
- C. Hepatitis B can be a life-threatening infection that is contracted by contact with contaminated blood as well as sexually.
- D. Most parents want to protect their children from as many serious diseases as possible. Hepatitis B is one of those diseases.
Correct Answer: C
Rationale: Hepatitis B can be transmitted through non-sexual means such as contact with infected blood.
What statement best describes risk management?
- A. identifying risk factors by analyzing processes and procedures
- B. creating disciplinary actions for nursing errors
- C. identifying health-care providers who are derogatory to patients
- D. implementing programs to keep errors secret
Correct Answer: A
Rationale: The correct answer is A because risk management involves identifying potential risks through analyzing processes and procedures to prevent any adverse events. This approach helps in proactively mitigating risks and improving overall safety.
Choice B is incorrect as risk management focuses on prevention rather than disciplinary actions after errors occur. Choice C is incorrect as it pertains to identifying problematic individuals rather than systemic risks. Choice D is incorrect as it goes against the principles of transparency and learning from mistakes in risk management.
A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
- A. Breast cancer is more advanced in Black women when found.
- B. Black women have the BRCA1 and BRCA2 gene.
- C. More Hispanic women smoke, which increases their risk.
- D. White women respond better to breast cancer treatment.
Correct Answer: A
Rationale: White women get breast cancer at a higher rate than Black women; however, Black women are more likely to die because they get breast cancer before 40 years of age, cancer is more advanced when found, and survival at every cancer stage is worse among Black women.
What assessment is most accurate for a young woman admitted without memory of the previous evening?
- A. The woman is spoiled and is exhibiting attention-seeking behavior.
- B. The woman is experiencing a psychotic break.
- C. The woman regrets having had consensual sex.
- D. The woman unknowingly ingested a date rape drug.
Correct Answer: D
Rationale: Date rape drugs impair memory and judgment.