A nurse is working with a young couple whose contraceptive choice is latex condoms. What statement by either partner indicates the need for more teaching?
A.
Man: "I don't carry these in my wallet in my pants pockets."
B.
Man: "I make sure I am using the correct size of condom."
C.
Woman: "I ask him to check the expiration dates each time."
D.
Woman: "I buy nonoxynol-9 spermicide to use with condoms."
ANS: D
Nonoxynol-9 (N-9) spermicide is no longer recommended for use with condoms because of higher costs, shorter shelf life, and lack of additive benefit when compared to other spermicides. Also, N-9 can cause genital lesions and increases the woman's risk of acquiring HIV and other sexually transmitted infections, especially when the condoms are used often. The other statements are correct. Condoms should be stored in a cool place, which makes placing them in wallets or pants pockets an incorrect action. Men should be sure to use the correct size. Condoms should be discarded if they are past their expiration date.
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A nurse working in the preoperative holding area performs which functions to ensure client safety? (Select all that apply.)
a. Allow small sips of plain water. b. Check that consent is on the chart. c. Ensure the client has an armband on. d. Have the client help mark the surgical site. e. Allow the client to use the toilet before giving sedation.
A nurse cares for a client with ulcerative colitis. The client states, "I feel like I am tied to the toilet. This disease is controlling my life." How should the nurse respond?
a. "Let's discuss potential factors that increase your symptoms." b. "If you take the prescribed medications, you will no longer have diarrhea." c. "To decrease distress, do not eat anything before you go out." d. "You must retake control of your life. I will consult a therapist to help."
The nurse is caring for a dying boy whose religion is Islam (Muslim). Which of the following is an important nursing consideration related to his impending death and religion?
a. There are no special rites. b. There are specific practices to be followed. c. The family is expected to "wait" away from the dying person. d. Baptism should be performed if it has not been done previously.
To meet a client's needs, it is sometimes necessary to integrate into the client's care a culturally relevant practice that lacks scientific utility. This is known as
1. Cultural accommodation 2. Cultural brokering 3. Cultural preservation 4. Cultural repatterning