Nokea
When a client who is having trouble conceiving says to the nurse, 'I have started taking ginseng,' the best response by the nurse is:
- A. No studies show that ginseng is effective for infertility.'
- B. Some studies show that ginseng enhances in vitro sperm motility.'
- C. Why don't you try acupuncture instead. Many studies have shown it to be effective for infertility.'
- D. It's probably not going to hurt you, but it's also probably not going to help. Let's look at some other alternatives.'
Correct Answer: B
Rationale: Acknowledging studies suggesting ginseng may enhance sperm motility validates the client's efforts while fostering open discussion about fertility options.
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The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
- A. 6
- B. 8
- C. 12
- D. 16
Correct Answer: C
Rationale: In general, children begin dentition around 6 months of age. During the first 2 years of life, a quick guide to the number of teeth a child should have is as follows: Subtract the number 6 from the number of months in the age of the child. In this example, the child is 18 months old, so the formula is 18 - 6 = 12. An 18-month-old child should have approximately 12 teeth.
Which of these clients should the LPN/LVN see first?
- A. a client with a newly placed NG who is complaining of pain around the face and a plugged nose
- B. a post-op prostatectomy client who complains of bladder spasms and blood in his foley bag
- C. a client in an arm cast who is 2 days post-op and reports feelings of numbness and tingling in her affected arm
- D. a client newly diagnosed with Hepatitis A who reports stomach pain and itchy skin
Correct Answer: C
Rationale: Numbness and tingling hours or days after a cast is applied may indicate compartment syndrome and should be reported to a medical provider right away. The other options all feature expected or typical symptoms related to their diagnosis.
All of the following factors, when identified in the history of a family, are correlated with poverty except:
- A. high infant mortality rate.
- B. frequent use of Emergency Departments.
- C. consultation with folk healers.
- D. low incidence of dental problems.
Correct Answer: D
Rationale: Dental problems are prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who do not have access to care might come to the Emergency Department when in labor. Those in poverty are likely to use Emergency Departments because they may not be turned away. Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment.
The nurse teaching an obese client about nutritional needs and weight loss should include all of the following except:
- A. knowledge of food and food products
- B. development of a positive mental attitude
- C. adequate exercise
- D. starting a fast weight-loss diet
Correct Answer: D
Rationale: Fast weight-loss diets are unsustainable and potentially harmful. Education should focus on nutrition knowledge, positive mindset, and exercise for healthy, gradual weight loss.
The LPN notices a client with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned. What should the nurse do?
- A. Add this issue to the nursing care plan and have daily gait/balance training as an intervention.
- B. Do nothing as this has nothing to do with why the client was hospitalized.
- C. Speak with the attending physician about his concerns and request a referral for the client to go to the hospital gym.
- D. Speak with the attending physician about his concerns and request a referral to physical therapy.
Correct Answer: D
Rationale: Nurses need to be aware of clients' needs even if they do not pertain to the reason for hospitalization and treatment. It is important to advocate for clients and request referrals when concerns and/or issues arise during care.