A female client is told that she needs a pelvic exam and Papanicolaou (Pap) smear. She says "No! I will not let you do that to me!" Which response by the nurse would be most appropriate?
A) Respect the client's wishes and omit the pelvic exam.
B) Tell the client that she needs to have the Pap smear to check for cancer.
C) Ask the client if she would like someone else to do the exam.
D) Proceed with the pelvic exam even if the client protests.
A
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When working in the community, the community health nurse adapts the teaching plan to ensure that the population understands the basic information provided. This addresses which of the following?
A) Self-care B) Health disparities C) Health literacy D) Episodic needs
A patient who has had gastric surgery that affected the effectiveness of the alimentary system will be fed via a gastrostomy tube upon discharge to home. How would the nurse explain the rationale for this intervention?
1. A gastrostomy tube is less invasive than a jejunostomy tube. 2. Gastrostomy tubes are more cost effective than nasogastric feeding. 3. Gastrostomy feeding is less likely to produce side effects than parenteral nutrition. 4. Gastrostomy feeding is more supportive of the specialized diet the patient will require.
The nurse will teach the caregivers about the need for small, frequent feedings by explaining to them that newborns and infants have:
a. a slower metabolic rate than adults b. slower peristalsis c. decreased emptying rate d. a 10- to 20-milliliter stomach capacity at birth
The home care agency has just received a client referral from a physician and assigned the case. Within how many hours from receiving the referral should the nurse plan to make the initial visit to this client, on the basis of typical agency policy?
A) 12 hours B) 24 hours C) 36 hours D) 48 hours