Nokea
Why should a woman refrain from douching while menstruating?
- A. Fibroids.
- B. Endometritis.
- C. Cervical cancer.
- D. Polyps.
Correct Answer: B
Rationale: Douching disrupts vaginal flora and increases infection risk.
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The nurse notes right cephalhematoma on the otherwise healthy one-day-old newborn. Apriority intervention at the time of discharge would be to instruct the parents:
- A. How to observe for signs of jaundice
- B. How to assess the fontanels for tenseness
- C. How to increase the infant's feeding to every 3 hours
- D. To record the number of wet diapers the infant has in 24 hours
Correct Answer: A
Rationale: Cephalhematomas can lead to increased bilirubin levels, necessitating jaundice monitoring.
Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select all that apply.
- A. Irregular bleeding
- B. Thick vaginal discharge
- C. Nausea
- D. Breast tenderness
Correct Answer: B
Rationale: Common side effects of oral combination contraceptives include irregular bleeding, nausea, and breast tenderness. Choice B, thick vaginal discharge, is not typically associated with oral contraceptives.
The nurse is caring for a child brought to the emergency department by a babysitter. The child needs an emergency appendectomy and the parents cannot be contacted. What would be the nurse's best response to this situation?
- A. Have the babysitter sign the consent form even if she does not have signed papers to do so.
- B. Have the primary care physician for the child sign the consent form.
- C. Document failed attempts to obtain consent to allow emergency care.
- D. Delay medical care until the child's next of kin can be contacted.
Correct Answer: C
Rationale: Health care providers can provide emergency treatment to a child without consent if they have made reasonable attempts to contact the child's parent or legal guardian.
What serum laboratory reports would the nurse expect in a bulimic client?
- A. Potassium 3.0 mEq/L.
- B. Bicarbonate 30 mmol/L.
- C. Platelet count 450,000 cells/mm3.
- D. Hemoglobin A1C 9%.
Correct Answer: A
Rationale: Low potassium levels result from vomiting and purging.
Which statement made by a nursing student would best indicate that her education on family-centered care was fully understood?
- A. Childbirth affects the entire family, and relationships will change.
- B. Families are usually not capable of making health care decisions for themselves, especially in stressful situations.
- C. Mothers are the only family member affected by childbirth.
- D. Since childbirth is a medical procedure, it may affect everyone.
Correct Answer: A
Rationale: Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support.