Which statement regarding the Family Systems Theory is inaccurate?
- A. Family system is part of a larger suprasystem.
- B. Family, as a whole, is equal to the sum of the individual members.
- C. Family roles are flexible.
- D. The family functions as a whole and adapts to changes.
Correct Answer: B
Rationale: Family Systems Theory posits that the family is greater than the sum of its parts, meaning the family unit's dynamics are not just the sum of individual members. The theory emphasizes family roles and adaptability within the system.
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Which client should the nurse refer for further testing?
- A. Left breast slightly smaller than right breast
- B. Eversion (elevation) of both nipples
- C. Faintly visible bilateral symmetry of venous network
- D. Small dimple located in the upper outer quadrant of the right breast
Correct Answer: D
Rationale: A small dimple in the breast is a concerning sign and should be referred for further testing as it can indicate breast cancer.
Which statement is most accurate regarding the reporting of IPV in the United States?
- A. Asian women report more IPV than do other minority groups.
- B. Caucasian women report less IPV than do non-Caucasians.
- C. Native-American women report IPV at a rate similar to other groups.
- D. African-American women are less likely to report IPV than Caucasian women.
Correct Answer: B
Rationale: Caucasian women report less IPV than other ethnic groups. Asian women report significantly less IPV. Native-American and Alaska Native women report significantly more IPV.
The nurse is assessing a 64-year-old female patient. The patient states that she is able to reduce the risk of urinary tract infections (UTIs) by drinking a quart of cranberry juice a day. Which health condition, if present in this patient, contraindicates the use of cranberry juice?
- A. Hypertension, managed with lisinopril
- B. Diabetes type 1, managed with insulin
- C. Atrial fibrillation, managed with warfarin
- D. COPD, managed with inhaled steroids
Correct Answer: C
Rationale: Cranberry juice has the potential to interact with warfarin, a common blood thinner prescribed for conditions such as atrial fibrillation. Cranberry juice contains components that can inhibit the metabolism of warfarin in the body, leading to an increased risk of bleeding. Therefore, patients taking warfarin should avoid or limit their intake of cranberry juice to prevent potential negative interactions. In this case, the patient's use of warfarin to manage atrial fibrillation contraindicates the consumption of cranberry juice in large quantities. It is essential to consult a healthcare provider before making any changes to the diet, especially when taking medications that may interact with certain foods or beverages.
A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?
- A. Contraction frequency every 3 min
- B. Contraction duration of 100 seconds
- C. Fetal heart rate with moderate variability
- D. Fetal heart rate of 118/min
Correct Answer: B
Rationale: Contractions lasting longer than 90 seconds (tachysystole) can lead to fetal distress by reducing uteroplacental blood flow. Oxytocin should be discontinued if contractions become excessive. Moderate variability and normal fetal heart rate do not indicate distress.
A 48-year-old woman has just had a hysterectomy for endometrial cancer. Which statement alerts the nurse that further teaching is needed?
- A. I can't wait to go on the cruise that I have planned for this summer.
- B. I know that the surgery saved my life, but I will miss having sexual intercourse with my husband.
- C. I have asked my daughter to come and stay with me next week after I am discharged from the hospital.
- D. Well, I don't have to worry about getting pregnant anymore.
Correct Answer: B
Rationale: Stating that she will miss having sexual intercourse with her husband indicates that further teaching is needed for this client regarding sexual activities after a hysterectomy. Although intercourse may be initially uncomfortable, the use of water-soluble lubricants, relaxation exercises, and changes in position may be helpful.