Nokea
What must the woman do to ensure the effectiveness of the diaphragm?
- A. Does not use any cream or jelly with it.
- B. Douches promptly after its removal.
- C. Leaves it in place for 6 hours following intercourse.
- D. Inserts it at least 5 hours prior to having intercourse.
Correct Answer: C
Rationale: Leaving the diaphragm in place for 6 hours ensures spermicide effectiveness.
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The nurse is caring for a 14-year-old girl with multiple health problems. Which activity would best reflect evidence-based practice by the nurse?
- A. Following blood pressure monitoring recommendations
- B. Determining how often the vital signs are monitored
- C. Using hospital protocol for ordering diagnostic tests
- D. Deciding the prescribed medication dose
Correct Answer: A
Rationale: Using hospital protocol for ordering a diagnostic test, determining how often the vital signs are monitored, and deciding the medication dose ordered would be the health care provider's responsibility. However, following blood pressure monitoring recommendations would be part of evidence-based practice reflected in the nursing care delivered.
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.
A male infant delivered at 28 weeks gestation weighs 2 pounds, 12 ounces. When performing an assessment, the nurse would probably observe:
- A. Wide, staring eye
- B. Transparent, red skin
- C. An absence of lanugo
- D. A scrotum with descended testicles
Correct Answer: B
Rationale: Premature infants often have thin, transparent skin.
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 is an appropriate response to a client asking if fibrocystic breast disease means she has breast cancer?
- A. I am so sorry. I am sure that the doctor will do everything possible to cure you of the cancer.
- B. I am not the best person to ask about your diagnosis. I suggest that you ask the doctor.
- C. If your lumps are round and mobile they are not cancerous, but if they are hard to the touch you probably do have cancer.
- D. You do not have cancer, but it is especially important for you to have regular mammograms to monitor for any changes.
Correct Answer: D
Rationale: Fibrocystic changes are benign but warrant monitoring.