An older adult female patient who has multiple sexual partners asks the nurse if the risk for contracting HIV really does increase as we age. The nurse shows the best understanding of this risk when responding
a. "Any time one engages in sex with mul-tiple partners, the risk for contracting HIV increases."
b. "Changes in vaginal tissue and immune function increase the risk, especially if sex is unprotected."
c. "Unless you are engaging in unprotected oral sex, your risk does not increase sub-stantially."
d. "Yes, your risk of contracting a sexually transmitted disease (STD) including HIV, dramatically increases as you age."
B
The age-related thinning of the vaginal mucosa and subsequent vaginal tissue disruption, as well as age-related reductions in immune function, place older adults at increased risk for HIV infec-tion. The risk does increase with increasing numbers of sex partners, but this combined with physical changes is the critical piece of information. HIV can be contracted through any sexual activity.
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A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. What is the nurse's initial action?
a. Stop the oxytocin infusion. b. Continue the infusion and report the findings to the physician. c. Turn her on her left side and reassess the contractions. d. Administer oxygen by mask.
A 45-year-old patient was diagnosed with an anterior myocardial infarction. The patient asks the nurse why his chest hurt when he had his heart attack. What is the best response from the nurse?
a. "One of your heart valves wasn't working properly and caused an obstructed blood flow." b. "One of your coronary arteries had a spasm, and your heart muscle wasn't able to get enough blood." c. "Your heart muscle was deprived of oxy-gen, which caused chest pain." d. "The heart muscle is sensitive to changes in electrical conduction."
Which of the following strategies might be effective in empowering staff?
a. Communication book in which new information on policies and processes is communicated and mistakes are highlighted. b. Monthly staff meetings during which a portion of the agenda is devoted to sharing ideas and presentations on best practices for implementation on the unit. c. Once-yearly summative evaluations based on what the manager best likes about the individual. d. Focus on discussion of errors in care with direction as to how errors are to be prevented in the future.
During a presentation about networking, a nurse asks, "I've heard all about this 'Twitter', but how is it different from instant messaging?" Which response by the presenter would be most appropriate?
A) "You can send larger messages than with IM." B) "The message is shared with others." C) "It is the preferred social networking site." D) "You use your real names for 'tweeting'."