Which statement is most important for the nurse to convey to the parents after they have been informed of their infant?
- A. We did all we could to resuscitate your baby.
- B. The baby would have been brain damaged had he lived.
- C. You did not cause, nor could you have prevented, your baby's death.
- D. Grief support groups are available for situations such as yours.
Correct Answer: C
Rationale: Reassuring parents that they are not responsible alleviates potential guilt, addressing a critical emotional need during acute grief.
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The client undergoing a routine physical exam asks the nurse if taking the dietary supplement androstenedione sometimes referred to as “andro” would help to get in shape for football season. Which statement by the nurse is best?
- A. “Androstenedione is considered a dietary supplement and therefore is not guaranteed safe by FDA standards.”
- B. “Benefits of androstenedione have not been proven. In fact there appear to be more negative effects than benefits.”
- C. “Taking androstenedione supplements is similar to taking vitamin supplements. Andro is found in meats so the tablet forms are safe.”
- D. “Androstenedione supplements have been proven to be perfectly safe because it is a naturally occurring hormone that is the precursor for testosterone.”
Correct Answer: B
Rationale: Androstenedione lacks proven benefits and has negative effects (B). FDA oversight (A) is partial meat comparison (C) is false and safety (D) is unproven.
If the client's drug screen is positive for cocaine, it is most appropriate for the nurse to advise a staff person to monitor the client closely for which finding?
- A. Cardiac arrhythmias
- B. Depressed respirations
- C. Low heart rate
- D. Elevated blood glucose level
Correct Answer: A
Rationale: Cocaine's stimulant effects increase the risk of cardiac arrhythmias, a potentially life-threatening complication requiring close monitoring.
Which recommendation by the nurse is most likely to be effective in helping the client control bulimia?
- A. Eat small, frequent meals.
- B. Take a daily inventory of food offered at the dormitory.
- C. Avoid eating in fast food establishments.
- D. Keep a daily calorie count of all foods consumed.
Correct Answer: A
Rationale: Small, frequent meals stabilize eating patterns, reducing the urge to binge and purge, a key strategy in managing bulimia.
If a rape victim desires medical treatment but objects to having evidence collected for criminal prosecution, which nursing action is most appropriate?
- A. Persuading the victim to reconsider the decision
- B. Proceeding because it is required
- C. Accepting the rape victim's wishes
- D. Advising the victim to use better judgment
Correct Answer: C
Rationale: Respecting the victim's autonomy honors their right to make decisions about their care, aligning with ethical nursing practice.
When a 24-year-old with a record of multiple convictions for driving under the influence (DUI) claims not to be an alcoholic, which is the most pertinent assessment question the nurse can ask?
- A. When you drink, do you drink beer or hard liquor?
- B. Did you begin drinking before or after you were of legal age?
- C. Do you prefer to drink alcohol rather than soft drinks?
- D. Are you unable to recall events that occurred while drinking?
Correct Answer: D
Rationale: Asking about memory loss during drinking episodes assesses for blackouts, a key indicator of problematic drinking patterns associated with alcoholism.