A client has a recurrent Bartholin cyst. What is the nurse's priority action?

a. Apply an ice pack to the area.
b. Administer a prophylactic antibiotic.
c. Obtain a fluid sample for laboratory analysis.
d. Suggest moist heat such as a sitz bath.


ANS: C
A major cause of an obstructed duct forming a cyst is infection. The laboratory specimen is a priority since a culture is needed in order to prescribe sensitive antibiotics. Comfort measures can then be used, such as ice packs and moist heat.

Nursing

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The priority nursing diagnosis for the client who has been diagnosed with glaucoma and is using medications to reduce the intraocular pressure is which of the following?

A. Risk for Injury related to decreased visual acuity B. Disturbed Body Image related to corrective lenses C. Altered tissue perfusion related to deficient knowledge of medication use D. Risk for Social Isolation related to decreased visual acuity

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The physician has recommended that a client take a vitamin supplement. What would the client look for when choosing a vitamin supplement?

A) The "Supplement Facts" label B) Look for the nutrient's Recommended Dietary Allowance (RDA) C) Choose the highest price supplement D) Choose a supplement that is "natural"

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Signs that a patient may have a drinking problem include all of the following EXCEPT:

A) increased urination B) drinking to calm nerves C) injuries from drinking or hiding drinks or injuries D) gulping drinks

Nursing

In interacting for several days with a dying child, the nurse realizes that the child has not mentioned death. There are some dead flowers in a vase on the child's windowsill

The child looks at the flowers and says, "Did they die?" Which of the following statements would be the most appropriate for the nurse to make to give the child an opportunity to open up and talk about dying? A) "These flowers don't seem to be alive anymore. I'll take them away." B) "These flowers are dead now. What do you think it would be like to die?" C) "I'm going to throw these flowers in the trash, okay?" D) "Well, these flowers aren't very cheerful anymore. I'll get rid of them."

Nursing