Before starting Megan, a 15 year old, on Accutane, it is important to assess for:
1. Signs and symptoms of infection.
2. Urinary tract infections.
3. Pregnancy.
4. Sexually transmitted diseases.
3
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1. Accutane will not treat infection.
2. Accutane will not treat infection.
3. Accutane can be detrimental to a fetus.
4. Accutane will not treat sexually transmitted diseases.
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A newly admitted client asks, "Why do we need a unit schedule? I'm not going to these groups. I'm here to get some rest." Which is the most appropriate nursing response?
1. "The purpose of group therapy is to learn and practice new coping skills." 2. "Group therapy is mandatory. All clients must attend." 3. "Group therapy is optional. You can go if you find the topic helpful and interesting." 4. "Group therapy is an economical way of providing therapy to many clients concurrently."
The nurse is caring for a hospitalized patient who needs vital signs and assessments every 4 hours
The nurse last assessed the patient at midnight, and at 2 AM the nurse answers the call light and helps the patient to the bathroom. To promote good sleep, what action by the nurse is best? a. Ask the patient if a sleeping medication is needed. b. Assess the patient now and again at 6 AM. c. Tell the patient you will be back in 2 hours. d. Assess the patient at 4 AM while being very quiet.
The nurse uses the PLISSIT format in helping clients who have sexual dysfunction. Which action by the nurse best reflects the 'P' section of this format?
A) Document precertification for benefits from the client's insurance company regarding sexual teaching. B) Acknowledge the client's spoken and unspoken sexual concerns when providing care. C) Ask the physician for permission to discuss sexual topics with the client. D) Obtain signed informed consent from both the client and the spouse or partner prior to providing them with sexual information.
Which is known as the "fifth vital sign"?
a. Temperature b. Respirations c. Pain d. Pulse