The clinic nurse's best responses to a teenage mother's question regarding the presence of an intact hymen is:
Select all answers that apply
A) Your daughter's hymen will widen and perforate only with intercourse.
B) The hymen is a small portion of tissue that forms a border around the vaginal opening in young girls
C) The hymen can widen or perforate with tampon insertion, vulvar injury or with intercourse
D) Bright red bleeding is always present following hymenal tearing
B, C
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The nurse is caring for a client who is 2 days postop and whose vital signs show the following: pulse of 112, blood pressure of 96/52, and a urine output of 15 cc/hour
Which of the following postoperative problems could present with those signs? Standard Text: Select all that apply. 1. UTI 2. Embolus 3. Hypovolemia 4. Hemorrhage 5. Hypovolemic shock
The nurse supervisor would like to delegate accreditation preparation activities to the nurse manager. The manager is unsure of what is expected and has no experience with accreditation
How should the manager respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I'll be glad to work on this task." 2. "I will need some education on the accreditation process before I can accept this task." 3. "I don't have time to add that to my work." 4. "Please tell me more about what this assignment entails." 5. "I'm not interested in working on this project."
How should the nurse measure urinary output for an infant with dehydration?
a. Attaching a urine collecting bag b. Wringing out the diaper c. Weighing the diaper d. Inserting a catheter
MC All of the following actions can be used to stimulate voiding except
A. Putting oil of wintergreen on a cotton ball in the bedpan. B. Placing a hot washcloth on the client's abdomen. C. Ambulating the client. D. Providing a sitz bath.