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Which sexually transmitted infection is characterized by a foul-smelling, yellow-green discharge accompanied by vaginal pain and dyspareunia?
- A. Syphilis.
- B. Herpes simplex.
- C. Trichomoniasis.
- D. Condylomata acuminata.
Correct Answer: C
Rationale: Trichomoniasis causes a foul-smelling, yellow-green discharge and discomfort during intercourse.
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A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issue of informed consent. The nurse determines that the teaching was effective when the group identifies which situation as a violation of informed consent?
- A. Performing a procedure on a 15-year-old without parental consent
- B. Serving as a witness to the signature process on an operative permit
- C. Asking whether the client understands what she is signing following receiving education
- D. Getting verbal consent over the phone for an emergency procedure from the spouse of a unconscious woman
Correct Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for health care. Serving as a witness to the signature process, asking whether the client understands what she is signing, and getting verbal consent over the phone for emergency procedures are all key to informed consent and are not violations.
The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates magnesium toxicity?
- A. Increased urine output.
- B. Deep tendon reflexes +4.
- C. Respiratory rate of 10 breaths per minute.
- D. Blood pressure of 140/90 mmHg.
Correct Answer: C
Rationale: Respiratory depression is a key sign of magnesium sulfate toxicity and requires immediate intervention.
If a newborn is born with acrocyanosis (blue/pale extremities and a pink body), they should be assigned which Apgar score for appearance?
- B. 1
- C. 2
- D. 3
Correct Answer: B
Rationale: Acrocyanosis typically receives a score of 1 for appearance.
Which statement is the most accurate to make dents about the highest risk group for gonorrhea. to the parents of a newborn during discharge What is the age range of the clients?
- A. 36 to 45 years
- B. Meconium stools should be expected to resolve
- C. 14 to 25 years
- D. 26 to 35 years
Correct Answer: C
Rationale: The age group of 14 to 25 years is considered the highest risk group for gonorrhea, making it important to discuss this with parents during discharge. This age range includes adolescents and young adults who are more likely to engage in risky sexual behaviors and therefore have a higher chance of contracting sexually transmitted infections like gonorrhea. Educating parents about this risk group can help them be more aware and take steps to protect their child as they grow older.
Which comment by a woman shows understanding of diaphragm teaching?
- A. I should regularly put the diaphragm up to the light and look at it carefully.
- B. This is one method that can be used during menstruation.
- C. I can leave the diaphragm in place for a day or two.
- D. The diaphragm should be well powdered before I put it back in the case.
Correct Answer: B
Rationale: Diaphragms can be used during menstruation.