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◉ A thin 24-year-old woman who runs 10 miles each week asks the nurse for advice about preventing osteoporosis. Which vitamin and other dietary supplement should the nurse recommend? Answer: Vitamin D and calcium citrate ◉ A client with a history of endometriosis has abdominal surgery to remove adhesions. What should this client's postoperative plan of care include? Answer: Encouraging the client to ambulate in the hallway ◉ A client at 16 weeks' gestation arrives at the prenatal clinic for a routine visit. During the examination the nurse notes bruises on the client's face and abdomen. There are no bruises on her legs and arms. Further assessment is required to confirm: Answer: Domestic abuse
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◉ A thin 24-year-old woman who runs 10 miles each week asks the nurse for advice about preventing osteoporosis. Which vitamin and other dietary supplement should the nurse recommend? Answer: Vitamin D and calcium citrate ◉ A client with a history of endometriosis has abdominal surgery to remove adhesions. What should this client's postoperative plan of care include? Answer: Encouraging the client to ambulate in the hallway ◉ A client at 16 weeks' gestation arrives at the prenatal clinic for a routine visit. During the examination the nurse notes bruises on the client's face and abdomen. There are no bruises on her legs and arms. Further assessment is required to confirm: Answer: Domestic abuse ◉ A nurse in the postpartum unit must complete several interventions before a client's discharge from the hospital. The nurse plans to delegate some of the tasks to the nursing assistant. Which activity must be performed by the nurse? Answer: Comparing the identification bands of mother and infant
◉ A nurse is writing a teaching plan about osteoporosis. How should the nurse explain what osteoporosis is? Answer: It involves a decrease in bone substance. ◉ A 24-year-old client complains to the nurse in the women's health clinic that her breasts become tender before her menstrual period. What should the nurse recommend that the client do 1 week before an expected menses? Answer: Decrease caffeine intake ◉ One hour postpartum a nurse evaluates the amount of vaginal bleeding and determines that a client's uterus has become relaxed and boggy. What should the nurse do next? Answer: Massage the uterus until firm ◉ A 28-year-old woman seeks advice about oral contraceptives from the nurse in her company health office. What should the nurse tell her if she is a smoker Answer: Oral contraceptives can cause thrombophlebitis. ◉ A breastfeeding mother asks the nurse how human milk compares with cow's milk. How should the nurse respond Answer: Fat in human milk is easier to digest and absorb than the fat in cow's milk ◉ When a client who had a mastectomy sees her incision for the first time, she exclaims, "I look horrible! Will it ever look better?" What is the nurse's best response? Answer: "You seem shocked by the way you look now."
widespread use of elective induction increases the risk of unfavorable outcomes." ◉ What is most important information to teach to a client who has had a mastectomy before she leaves the hospital? Answer: Why self- examination of the remaining breast is important ◉ A woman in the family planning clinic has decided to use the diaphragm for contraception. What should the nurse teach her about using a diaphragm? Answer: Insert the diaphragm before intercourse and leave it in at least 6 hours after intercourse to kill all the sperm. ◉ A left modified radical mastectomy is performed on a client with breast cancer. What is the most important measure to be included in the care plan for the first postoperative day? Answer: Placing the client in the semi-Fowler position with the left arm and hand elevated ◉ A nurse is obtaining a health history from a primigravida on her first visit to the prenatal clinic. Before discussing the client's health habits with her, what does the nurse consider the most important factor in the survival of the client's newborn? Answer: Gestational age and birthweight ◉ A thin older adult client is found to have osteoporosis. What should the nurse include in the discharge plan for this client? Answer: Instructions relative to diet and exercise
◉ A new mother who wishes to breastfeed her infant asks a nurse whether she needs to alter her diet. How should the nurse respond? Answer: "You'll need extra amounts of the same foods you've been eating, plus more fluids." ◉ A couple interested in family planning ask the nurse about the cervical mucus method of family planning. The nurse explains that with this method the couple must avoid intercourse when and a few days after the cervical mucus is: Answer: Clear and stretchable ◉ A client is taking a progesterone oral contraceptive (minipill). The nurse instructs the client to take one pill daily during the: Answer: Entire menstrual cycle ◉ A 63-year-old woman with the diagnosis of estrogen-receptor positive cancer of the breast undergoes lumpectomy and radiation therapy, and tamoxifen (Nolvadex) is prescribed. The client asks the nurse how long she will have to take the medication. The nurse responds: Answer: "You'll need to take it for 5 years, after which it will be discontinued." ◉ A client with endometriosis asks the nurse what side effects to expect from leuprolide (Lupron). What should the nurse include in the response? Answer: Weight gain
◉ What antidote to the side effects of terbutaline (Brethine) should a nurse have available? Answer: Propranolol (Inderal) ◉ An older female client tells the nurse in the clinic that she has a cystocele that was diagnosed a year ago. She has urinary frequency and burning on urination. The client asks, "The doctor wanted me to have surgery for the cystocele last year, but I can manage with peripads. It won't hurt not to have surgery, will it?" How should the nurse respond? Answer: "Yes, you're risking kidney damage." ◉ A woman visits the prenatal clinic because an over-the-counter pregnancy test has rendered a positive result. After the initial examination verifies the pregnancy, the nurse explains some of the metabolic changes that occur during the first trimester of pregnancy. (Select all that apply.) Answer: Sleep needs increase. Fluid retention increases. Calcium requirements increase ◉ Which risk factors are associated with the future development of osteoporosis in women? (Select all that apply.) Answer: Cigarette smoking Familial predisposition Inadequate intake of dietary calcium
◉ A client who has just begun breastfeeding complains that her nipples feel very sore. What should the nurse encourage the mother to do? (Select all that apply.) Answer: Apply cool packs to her breasts to reduce the discomfort Take the analgesic medication prescribed to limit the discomfort Assume a different position when breastfeeding to adjust the infant's sucking ◉ A client making her first visit to the prenatal clinic asks which immunization can be administered safely to a pregnant woman. What should the nurse tell her? Answer: Inactive influenza