A woman who has had multiple miscarriages is advised to go through genetic testing. The patient asks the nurse the rationale for this recommendation. The nurse will explain that:

1. The woman's pedigree might exhibit a problem carrying a fetus to term.
2. The majority of miscarriages are caused by genetic defects.
3. A woman's chromosomal pattern determines her fertility.
4. There is a genetic marker that detects the presence of an incompetent cervix.


2
Rationale 1: A pedigree does not show a woman's ability to carry a fetus to term.
Rationale 2: Most miscarriages are related to genetic defects.
Rationale 3: Fertility is determined by many factors.
Rationale 4: There is no genetic marker for incompetent cervix.

Nursing

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A person suffering from paranoid schizophrenia is discharged from an inpatient facility before community mental health services can be established for him. Which statement most appropriately describes this action?

a. The client has a right to be discharged to the least restrictive environment. b. The client is not competent to be discharged without community mental health resources for his transition to a less restrictive environment. c. The client has a responsibility to ask to remain in the inpatient setting. d. The client will demonstrate improved compliance with treatment once in a less restrictive environment.

Nursing

The nurse is doing discharge teaching with a patient with coronary artery disease. The patient asks why he has to take an aspirin every day if he doesn't have a headache. What would be the nurse's best response?

A) "Taking an aspirin every day is an easy way to prevent plaque build-up in the arteries." B) "An aspirin a day is a common nonprescription medication that improves outcomes in patients with CAD." C) "Taking an aspirin every day really isn't necessary. It just makes some patients feel like they are doing something to help themselves." D) "An aspirin a day is an easy way to help yourself feel better."

Nursing

What technique should the nurse use to obtain a throat culture from a client who is suspected to have a bacterial pharyngitis and tonsillitis?

A. Ask the client to expectorate mucus/sputum into a sterile specimen container upon first arising after a full night's sleep. B. Ask the client to gargle with a mouthful of sterile normal saline for 30 seconds, and then to expectorate the saline into a sterile container. C. Rub a sterile swab first over the right tonsillar area, moving across the right arch, the uvula, and the left arch to the left tonsillar area. D. Dampen a sterile swab with sterile normal saline and then gently rub the hard and soft palates, taking care to avoid areas with a white or cream-colored patch.

Nursing

Health promotion and health protection are two elements of primary prevention. What definition would the nurse use when explaining health promotion?

A) Emphasis on helping people change their lifestyles B) Protecting people from disease and injury C) Providing annual immunizations D) Eliminating exposure to environmental health hazards

Nursing