Nokea
Which comment indicates effective teaching about infection control in adolescents?
- A. I don't have to worry about getting infected if I have oral sex.
- B. Teen women are most high risk for sexually transmitted infections (STI).
- C. The best thing to do if I have sex a lot is to use spermicide each and every time.
- D. Boys get human immunodeficiency virus (HIV) easier than girls do.
Correct Answer: B
Rationale: Adolescent women are at higher risk for STIs due to biological and behavioral factors.
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The nurse is aware that a pre-term neonate may have a potential nutritional problem because of:
- A. Poor sucking reflex
- B. A decreased metabolic rate
- C. Decreased caloric requirement
- D. Increased absorption of nutrients
Correct Answer: A
Rationale: Pre-term infants often have an immature sucking reflex.
A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
- A. Cleft lip
- B. Polydactyly
- C. Umbilical Hernia
- D. Small upturned nose
Correct Answer: D
Rationale: Small upturned nose is a feature of fetal alcohol syndrome.
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.
During the counseling sessions about hepatitis B vaccination, what should the nurse advise the client to receive?
- A. Hepatitis B immune globulin before receiving the vaccine.
- B. Vaccine booster every 10 years.
- C. Complete series of three intramuscular injections.
- D. Vaccine as soon as she becomes 21.
Correct Answer: C
Rationale: The hepatitis B vaccine requires a complete series of three intramuscular injections.
What information should the nurse teach a client regarding emergency contraception (EC) after a sexual assault?
- A. EC is illegal in all 50 states.
- B. The most common side effect of EC is excessive vaginal bleeding.
- C. The same medicine that is used for EC is used to induce abortions.
- D. EC is best when used within 72 hours of contact.
Correct Answer: D
Rationale: EC is most effective when administered promptly.