A female patient is having difficulty accepting the diagnosis of a sexually transmitted disease because she has "been on the pill" for years. Which piece of information should the nurse provide to aid this patient?
1. Skipping doses could have caused the disease.
2. She possibly needs to change the type of birth control pill being used.
3. Some diseases are virulent, and the pill will not protect her.
4. Oral contraceptives do not protect against sexually transmitted diseases.
Correct Answer: 4
Oral contraceptives do not protect against sexually transmitted diseases. The type of oral contraceptive used or inconsistency of dose does not increase risk of STI. By making the vaginal environment less acidic, oral contraceptives can predispose women to infection.
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While caring for a critically ill patient, the nurse identifies an ethical dilemma and seeks the advice of the agency's Ethics Committee. This scenario is an example of what kind of nursing action?
A) Inability to make independent decisions B) Behavior mandated by protocols C) Appropriate use of resources D) Fear of autonomous action
The patient has been admitted to the CCU after taking a large amount of cocaine accompanied by large amounts of opioid. Initial detoxification was started in the emergency department. The patient is currently intubated and on mechanical ventilation
To identify life-threatening complications from these substances, what is the nursing priority? A) Continuous cardiac monitoring B) Assisting respirations with bag-mask device C) Use of jaw thrust maneuver to protect airway D) Monitor serum drug levels of opioids
While teaching a preschool-age child how to do postoperative exercises, the nurse recalls that the child will "center" on information. What impact does this have on the child's learning?
A) The child will learn only the middle part of a procedure. B) The child will not retain information longer than a week. C) The child will need printed material to understand the teaching. D) The child will concentrate on one part of a procedure and appear not to hear another.
Identify the outcome that best demonstrates a critical care nurse's successful application of the ethical principle of nonmaleficence to the care of a client who has experienced a cerebrovascular accident (CVA)
a. The client is aware of his or her diagnosis despite attempts of the family to withhold that information. b. The client is beginning to be able to use simple words to express his or her needs. c. The family has been taught the necessary skills to care for the client at home with the supervision of a home health-care nurse. d. There is no evidence of skin breakdown on bony pressure points, and the client's shoulder and hip on the affected side re-main intact.