When discussing sexuality with the older adult, the nurse remembers that
1. Older men are infertile
2. Older women lose interest in sexual activity after menopause
3. The phases of sexual response may take longer to occur
4. Sexual activity is to be avoided after heart surgery
3
Rationale: Older men remain fertile into old age.
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The nursing staff of an oncology unit cautions visitors to be free of infections prior to visiting patients. The rationale for this precaution is because chemotherapy and decreased bone marrow production can cause:
1. hemorrhage. 2. neutropenia. 3. edema. 4. hypovolemia.
In which situation would a baseline fetal heart rate of 160 to 170 bpm be considered a normal finding?
a. The fetus is at 30 weeks of gestation. b. The mother has a history of fast labors. c. The mother has been given an epidural block. d. The mother has mild preeclampsia but is not in labor.
A patient with an incomplete spinal cord injury is being transferred from intensive care to the neurological trauma unit
The nurse realizes that in order to minimize the patient's risk of developing autonomic hyperreflexia, which interventions should be included in the patient's care plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Monitoring skin temperature in lower extremities 2. Assessing for abdominal distention 3. Bladder scan postvoiding 4. Assessing pulse oximetry levels with vital signs 5. Strict output monitoring
Which of the following statements made by a nurse puts the nurse at risk for assault of the client?
1. "You will be sorry if you don't agree to take this medication." 2. "You can't refuse this medication if you really want to feel better." 3. "I'll be so disappointed in you if you don't take your medication." 4. "I'll tell your son you aren't cooperating if you don't take your medication."