An adolescent comes into the emergency department requesting the "morning-after pill." What should the nurse assess in this patient?
a. Age of the patient
b. Time of intercourse
c. Use of contraception
d. Location of the parents
ANS: B
The "morning-after pill," or emergency contraceptive treatment, consists of postcoital administration of sufficient estrogen or an estrogen/progestin combination to cause sudden sloughing of the endometrial lining of the uterus, preventing implantation of a possibly fertilized ovum. For this to be effective, the initial dose is generally given within 72 hours of intercourse. A. D. The patient's age and location of the parents is not important at this time. C. If the patient used contraception, the morning-after pill would not be needed.
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When teaching a pregnant woman with class II heart disease, the nurse should:
a. advise her to gain at least 30 pounds. b. explain the importance of a diet high in calcium. c. instruct her to avoid strenuous activity. d. inform her of the need to limit fluid intake.
A patient's carcinoembryonic antigen level was initially 16 ng/mL. The level is currently 6 ng/mL. What does the nurse realize this decreased level indicates for the patient?
1. The patient's treatment for cancer is effective. 2. The patient's treatment for cancer is not effective. 3. The patient has a new site of cancer. 4. The patient's cancer has metastasized.
A nurse is preparing a client for bronchoscopy. Which of the following instructions is most important for the nurse to teach the client?
A) Avoid taking food 3 hours before the procedure. B) Maintain a side-lying position after the bronchoscopy. C) Cough out the mucus secretions after the procedure. D) Start a soft, semisolid diet when the gag reflex returns.
A client who takes clonidine (Catapres) is to be discharged to home. Which instruction will the nurse include when teaching this client?
a. "Your blood pressure should be checked by a health care provider at least once a year." b. "Increasing fluid and fiber in your diet can help prevent the side effect of constipation." c. "Intense exercise or prolonged standing is not a problem with clonidine as it can be with other antihypertensive agents." d. "If you are having difficulty with the common side effect of drooling, notify your health care provider so your dosage can be adjusted."