Nokea
When teaching adolescents about sexually transmitted diseases, what should the nurse emphasize that is the most common infection?
- A. Gonorrhea
- B. Chlamydia
- C. Herpes
- D. HIV
Correct Answer: B
Rationale: Chlamydia. It has the highest incidence among sexually transmitted diseases, requiring emphasis on prevention.
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The patient with DM has flu.
Which nursing action is more appropriate?
- A. Frequent monitoring of blood glucose.
- B. Expected increase in the patient insulin requirement.
- C. Implement respiratory isolation.
- D. Monitor the patient's respiratory status frequently.
Correct Answer: A
Rationale: Flu can disrupt glucose control, making frequent monitoring critical.
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Appropriate patient teaching when the chest tube is removed:
- A. Instruct the patient take deep breath and hold it during removal.
- B. Inform the patient that this is not a painful procedure.
- C. Ensure that the site is covered with a loose, dry dressing.
- D. Expect tachypnea after the removal.
Correct Answer: A
Rationale: Holding a deep breath during removal prevents air entry into the pleural space.
A school-age child with terminal leukemia is admitted to the pediatric unit. The nurse must discuss advance directives with the child's parents. The nurse should include which information?
- A. Positive appraisal of the child's prognosis
- B. Chemotherapy options
- C. Comfort care options
- D. Bone marrow transplantation information
Correct Answer: C
Rationale: The nurse shouldn't give a positive appraisal of the child's prognosis because doing so gives the parents false hope. The nurse must be honest about the child's prognosis and provide them accurate information about treatment options, which include palliative care, comfort care, and pain management. The physician - not the nurse - should discuss such treatment options as chemotherapy or bone marrow transplantation, if indicated.
The client is receiving chemotherapy for cancer. Which statement, if made by the client, would indicate that she has accepted the diagnosis and treatment?
- A. I hate getting that treatment.'
- B. The doctor isn't sure if I really have cancer.'
- C. I have a collection of pretty scarves that I am wearing a lot now.'
- D. I don't go anywhere except for my treatments because I look so weird.'
Correct Answer: C
Rationale: Wearing scarves suggests acceptance of chemotherapy-induced hair loss, indicating adaptation to treatment and diagnosis.
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's:
- A. Level of consciousness
- B. Gag reflex
- C. Urinary output
- D. Movement of extremities
Correct Answer: B
Rationale: Assessing the gag reflex is critical post-esophagoscopy to ensure the client can swallow safely, as local anesthesia may impair this reflex.