Which statement by the patient related to preventing condom breakage during use indicates to the nurse that more teaching is necessary?
a. "I should use a water-soluble lubricant."
b. "I should make sure to leave a half inch extra space at the end of the condom."
c. "Before I use a condom I should inflate it and check it for holes and leaks."
d. "Condoms should never be reused."
ANS: C
Condoms should never be inflated to test them, because this can weaken them. Lubrication decreases the chances of breakage during use, but only water-soluble lubricants should be used, because substances such as petroleum jelly (Vaseline) may weaken the condom. Either condoms with a reservoir tip or regular condoms that have been applied while holding approximately 1/2 inch of the closed end flat between the fingertips allow room for expansion by the ejaculate without creating excessive pressure, which might break the condom. Condoms should not be reused.
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The nurse is caring for a child who is dying. The nurse is feeling conflicted when the parents are unable to discontinue aggressive therapy that the nurse feels is extending the child's suffering. Which action by the nurse is most appropriate?
1. Call a meeting with the physician taking care of the patient. 2. Talk to the parents and convince them this is not right. 3. Inform the nurse manager that she needs to talk with the parents. 4. Consult with the hospital Ethics Committee.
The nurse researcher is developing informed consent materials for an upcoming study. Which portion of this material should be developed with consideration of the Nuremburg Code?
1. The section that assures the subject's right to refuse to participate or to withdraw from the study without penalty. 2. The section that describes the balance between the risks and potential benefits of participating in the study. 3. The section that describes how the subject's anonymity or confidentiality will be assured and protected. 4. The section that discusses the compensation the subject will receive as a study participant.
Review of a patient's medical record reveals the presence of a rash consisting of discrete arciform lesions
The nurse would anticipate that the patient's rash has which characteristics? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The rash is localized. 2. The rash consists of individual lesions. 3. The rash forms a line across the body. 4. The individual lesions are arc-shaped. 5. The lesions arch across the body.
The client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to include?
1. "Abortion is morally wrong, and should not be undertaken." 2. "Hypertension is a risk with any abortion." 3. "Surgical abortion in the first trimester is technically easier and safer than abortion in the second trimester." 4. "The most accurate method to determine gestational age are the results of a pregnancy test."