Which woman is a safe candidate for the use of oral contraceptives?
a. 39 year old with a history of thrombophlebitis
b. 16 year old with a benign liver tumor
c. 20 year old who suspects she may be pregnant
d. 43 year old who does not smoke cigarettes
D
Heavy cigarette smoking is a contraindication.
Oral contraceptives are contraindicated with a history of thrombophlebitis.
Liver tumors, benign or malignant, preclude the use of oral contraceptives.
Pregnancy is a contraindication.
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When the nurse is performing a genital examination on a male patient, which action is correct?
a. Auscultating for the presence of a bruit over the scrotum b. Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament c. Palpating the inguinal canal only if a bulge is present in the inguinal region during inspection d. Having the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side
A patient who is near the end of his life is to be extubated, according to the wishes of his family. Which of the following would be the best action for the nurse to take to support the patient?
A) Ask the family to leave the room during the extubation. B) Hold a family conference to ask the family to reconsider their decision. C) Administer opioids to the patient to reduce pain and discomfort. D) Administer antibiotics to the patient to prevent infection.
A 77-year-old woman has recently been diagnosed with type 2 diabetes. The gerontological nurse who is working with the woman has emphasized the need for the woman to make smart lifestyle choices in the management of her chronic condition
The woman has retorted, "Choices! I didn't choose to get diabetes and there's not much that I can do about it!" Which of the following statements best underlies the response that the nurse will provide? A) Many of the factors that contribute to increased quality of life are within the woman's direct control. B) The woman has the ability to adopt or reject behaviors that have the potential to cure her disease. C) The woman can identify treatment options in consultation with the physician who is providing her care. D) Lifestyle choices exist only in older adults with strong support networks and sufficient resources.
The nurse is conducting a primary prevention intervention. An example of this type of intervention would be:
a. blood glucose screening. b. dietary education to reduce high cholesterol. c. parenting education. d. providing immunizations.