Nokea
Which statement by the client indicates understanding about the intrauterine device (IUD)?
- A. The IUD can remain in place for a year or more.
- B. I will not menstruate while the IUD is in.
- C. Pain during intercourse is a common side effect.
- D. The device will reduce my chances of getting infected.
Correct Answer: A
Rationale: IUDs can remain in place for several years depending on the type.
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What assessment is most accurate for a young woman admitted without memory of the previous evening?
- A. The woman is spoiled and is exhibiting attention-seeking behavior.
- B. The woman is experiencing a psychotic break.
- C. The woman regrets having had consensual sex.
- D. The woman unknowingly ingested a date rape drug.
Correct Answer: D
Rationale: Date rape drugs impair memory and judgment.
What signs/symptoms should the nurse suspect in a bulimic client?
- A. Significant weight loss and hyperkalemia.
- B. Respiratory acidosis and hypoxemia.
- C. Dental caries and scars on her knuckles.
- D. Hyperglycemia and large urine output.
Correct Answer: C
Rationale: Dental erosion and scars from induced vomiting are classic signs of bulimia.
A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
- A. Breast cancer is more advanced in Black women when found.
- B. Black women have the BRCA1 and BRCA2 gene.
- C. More Hispanic women smoke, which increases their risk.
- D. White women respond better to breast cancer treatment.
Correct Answer: A
Rationale: White women get breast cancer at a higher rate than Black women; however, Black women are more likely to die because they get breast cancer before 40 years of age, cancer is more advanced when found, and survival at every cancer stage is worse among Black women.
What is recognized as effective use of hormone replacement therapy (HRT)?
- A. No woman should ever take hormone replacement therapy.
- B. Women experiencing severe menopausal symptoms.
- C. Women with severe coronary artery disease.
- D. Women with a history of breast cancer.
Correct Answer: B
Rationale: HRT is beneficial for managing severe menopausal symptoms.
What action is appropriate for a school nurse noticing a young woman with scars on her knuckles running to the bathroom after lunch?
- A. Nothing, because her behavior is normal.
- B. Question the young woman to see if she is being abused.
- C. Recommend that the young woman be seen by her doctor.
- D. Follow the young woman to the bathroom.
Correct Answer: C
Rationale: Medical evaluation is necessary to confirm suspected bulimia.