When should a drug with of a pregnancy risk category of X be given to a pregnant patient?
a. If patient's condition warrants the use of the drug
b. If the potential benefits outweigh the risks to the fetus
c. It is contraindicated and should not be given
d. Only if the patient is in her third trimester
Answer: c. It is contraindicated and should not be given
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The nurse is unable to locate an interpreter to support a patient from a non-English-speaking culture. The patient asks a family member to interpret for the staff. What would the nurse do to ensure culturally and linguistically appropriate services for this patient?
A. Use the family member as an interpreter until a non-family member can be located. B. Write the questions down for the patient to answer. C. Do nothing until an interpreter can be located. D. Use sign language.
The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil. How should the nurse interpret this?
a. Eye trauma b. Brain death c. Severe brainstem damage d. Neurosurgical emergency
A client from a culture different from the nurse's has just been admitted to a unit. The unit is busy, and the nurse has limited time to complete the nursing admission assessment. The best way for the nurse to show cultural sensitivity is to:
A) Pick a time when the family is present and can help with the admission assessment questions. B) Thoroughly explain the reason for asking many questions before beginning the assessment. C) Break the assessment into shorter intervals, and discuss general topics first. D) Wait until there is adequate time to complete the assessment.
Which does the nurse document to indicate that the nose, sinuses, and mouth are within normal limits?
1. Uvula and soft palate move symmetrically. 2. Maxillary sinuses sensitive to firm pressure. 3. Nasal mucosa is pink; septum shifted to left. 4. Tongue is dry, midline, with smooth margins.