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Which of the following statements highlights the nurse’s role as a researcher?
- A. Reading peer-reviewed journal articles
- B. Working as a member of the interdisciplinary team to provide patient care
- C. Helping patient to obtain home care postdischarge from the hospital
- D. Delegating tasks to unlicensed personnel to allow for more teaching time with patients
Correct Answer: A
Rationale: Reading peer-reviewed journal articles highlights the nurse's role as a researcher because it involves staying current with the latest evidence-based practices, advancements in healthcare, and research findings. Nurses who engage in reading such articles are able to enhance their knowledge, critical thinking skills, and decision-making abilities, which are crucial aspects of conducting research and applying research findings to patient care. By continuously educating themselves through reviewing peer-reviewed literature, nurses contribute to the advancement of nursing practice and further research in the field.
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In some Middle Eastern and African cultures, female genital mutilation (female cutting) is a prerequisite for marriage. Women who now live in North America need care from nurses who are knowledgeable about the procedure and comfortable with the abnormal appearance of their genitalia. When caring for this patient, the nurse can formulate a diagnosis with the understanding that the patient may be at risk for which of the following? (Select all that apply.)
- A. Infection
- B. Laceration
- C. Hemorrhage
- D. Obstructed labor
Correct Answer: A
Rationale: Female genital mutilation (FGM) can lead to various short-term and long-term complications, putting the woman at risk for infection (such as urinary tract infections and pelvic infections due to poor healing and scar tissue), hemorrhage (excessive bleeding during or after the procedure or in subsequent sexual encounters), and obstructed labor (due to scarring and narrowing of the birth canal, which can lead to prolonged labor, tears, and even fistula formation). These risks highlight the importance of providing appropriate care, support, and education for women who have undergone FGM.
A nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 woman who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, –1 station, and vertex with membranes intact. The patient asks the nurse if she can break her water so that her labor can go faster. The nurse’s response, based on the ethical principle of nonmaleficence, is which of the following?
- A. Tell the patient that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy.
- B. Have the patient write down her request and then call the physician for an order to implement the amniotomy.
- C. Instruct the patient that only a physician or certified midwife can perform this procedure.
- D. Give the patient an enema to stimulate labor.
Correct Answer: A
Rationale: The correct response based on the ethical principle of nonmaleficence, which refers to the duty to do no harm, is to tell the patient that she will have to wait until she has progressed further on the vaginal exam and then perform an amniotomy. In this scenario, breaking the patient's water prematurely could introduce risks and potential harm without clear medical necessity. Performing an amniotomy too early could increase the risk of infection or cause umbilical cord prolapse, which can be harmful to both the mother and the baby. Therefore, it is important for the nurse to wait until the patient has progressed further in labor before considering an amniotomy.
The nurse is teaching a parenting class to new parents. Which statement should the nurse include in the teaching session about the characteristics of a healthy family?
- A. Adults agree on the majority of basic parenting principles.
- B. The parents and children have rigid assignments for all the family tasks.
- C. Young families assume total responsibility for the parenting tasks, refusing any assistance.
- D. The family is overwhelmed by the significant changes that occur as a result of childbirth. N R I G B.C M U S N T O
Correct Answer: A
Rationale: The statement the nurse should include in the teaching session about the characteristics of a healthy family is that "Adults agree on the majority of basic parenting principles." This is because in a healthy family, it is crucial for adults to be on the same page when it comes to fundamental parenting principles. Having a shared understanding of how to raise children helps create consistency in parenting approaches, which is beneficial for the overall well-being of the family unit. Collaboration and agreement on parenting principles also lead to effective communication and support between parents, fostering a positive and nurturing environment for children to grow and thrive.
Which of the following statements highlights the nurse’s role as a researcher?
- A. Reading peer-reviewed journal articles
- B. Working as a member of the interdisciplinary team to provide patient care
- C. Helping patient to obtain home care postdischarge from the hospital
- D. Delegating tasks to unlicensed personnel to allow for more teaching time with patients
Correct Answer: A
Rationale: Reading peer-reviewed journal articles highlights the nurse's role as a researcher because it involves staying current with the latest evidence-based practices, advancements in healthcare, and research findings. Nurses who engage in reading such articles are able to enhance their knowledge, critical thinking skills, and decision-making abilities, which are crucial aspects of conducting research and applying research findings to patient care. By continuously educating themselves through reviewing peer-reviewed literature, nurses contribute to the advancement of nursing practice and further research in the field.
A college-aged female patient states that she understands the risk of sexual assault with overdrinking. She asks the nurse what health risks are associated with excessive alcohol intake for her age. What diseases or conditions should the nurse include in her response? Select all that
apply
- A. Infertility
- B. Cancer of mouth
- C. Hypertension
- D. Brain shrinkage
Correct Answer: A
Rationale: A. Excessive alcohol intake is a risk factor for developing cancer, particularly cancers of the mouth, throat, esophagus, liver, and breast. Chronic alcohol use can increase the individual's susceptibility to these types of cancers.