Nokea
You are working in the ED when a client with possible toxic shock syndrome (TSS) is admitted. The physician has given all of these orders. Which one will you implement first?
- A. Remove client's tampon.
- B. Obtain blood cultures from two sites.
- C. Give O2 at 6 L/minute.
- D. Infuse nafcillin (Unipen) 500 mg IV.
Correct Answer: A
Rationale: Removing the tampon eliminates the source of infection, which is critical in managing TSS.
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Maintaining adequate nutrition for the patient during chemotherapy is often problematic because of nausea, vomiting, and anorexia. Which of the following nursing measures would be most effective in combating nutritional depletion?
- A. Reduce food intake and increase fluids during the 4 days following chemotherapy to lessen nausea
- B. If leukopenia occurs, adjust the diet to high-caloric, low-protein
- C. Weigh the patient three times a week
- D. Offer snack supplements, and frequent small feedings
Correct Answer: D
Rationale: Frequent small feedings and snacks help maintain nutrition despite nausea and anorexia.
Which of the followings is an erectile organ responsible for sexual sensations?
- A. clitoris
- B. Ovary
- C. Cervix
- D. Breast
Correct Answer: A
Rationale: Rationale: The correct answer is A: clitoris. The clitoris is an erectile organ responsible for sexual sensations due to its high concentration of nerve endings. It becomes engorged with blood during arousal, enhancing sensitivity. Ovary (B), Cervix (C), and Breast (D) are not erectile organs and do not directly contribute to sexual sensations. Ovary produces eggs, Cervix is part of the reproductive system, and Breast is a secondary sexual characteristic involved in breastfeeding.
Women infected with human papilloma virus (HPV) are at risk for which of the following?
- A. Uterine fibroids
- B. Cervical cancer
- C. Ovarian cysts
- D. Hemorrhagic
Correct Answer: B
Rationale: HPV infection is a significant risk factor for developing cervical cancer.
A 24-yr-old woman says she wants to begin using oral contraceptives. Which information from the nursing assessment is important to report to the health care provider before a prescription is considered?
- A. The patient quit smoking 5 months previously.
- B. The patient’s blood pressure is 150/86 mm Hg.
- C. The patient has not been vaccinated for rubella
- D. The patient has chronic iron-deficiency anemia
Correct Answer: B
Rationale: Step 1: Elevated blood pressure (BP) is a contraindication for oral contraceptives due to increased risk of cardiovascular events.
Step 2: BP of 150/86 mm Hg falls in the hypertensive range.
Step 3: Reporting high BP to the healthcare provider is crucial for assessing the patient's cardiovascular risk.
Step 4: Other choices are not immediate contraindications for oral contraceptives: A - Smoking cessation is a positive factor, C - Rubella vaccination can be addressed separately, D - Iron-deficiency anemia can be managed alongside oral contraceptives.
The ovule that can be fecundated contains:
- A. 22 somatic chromosomes;
- B. 23 autosomes;
- C. a sex chromosome: X or Y;
- D. 11 pairs of somatic chromosomes;
Correct Answer: B
Rationale: The correct answer is B: 23 autosomes. The ovule contains half the number of chromosomes as the typical somatic cell, which is 46 in humans. This is because during meiosis, the number of chromosomes is reduced by half to ensure the correct chromosome number in the offspring. Therefore, the ovule contains 23 chromosomes, which are autosomes (non-sex chromosomes). Choices A, C, and D are incorrect because the ovule does not contain the same number of somatic chromosomes, a sex chromosome, or 11 pairs of somatic chromosomes.