A 40-year-old woman tells the primary care nurse practitioner (NP) that she does not want more children and would like a contraceptive. She does not smoke and has no personal or family history of cardiovascular disease
She has frequent tension headaches. For this patient, the NP should prescribe: a. condoms.
b. tubal ligation.
c. monophasic combined oral contraceptive pill (COCP).
d. low-estrogen COCP.
D
Low-estrogen COCPs are recommended for women older than 40 with or without cardiovascular risk. Monophasic COCPs are recommended for women with migraine headaches. Condoms are more useful for preventing sexually transmitted diseases and not as reliable as contraception. Tubal ligation has surgical risks.
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When working with interpreters, the nurse remembers to: Standard Text: Select all that apply
1. Allow additional time for the interview. 2. Use family members as interpreters. 3. Talk to the interpreter. 4. Validate the client's understanding by asking for brief summaries. 5. Use medical terminology.
Which of the following is appropriate with a patient who is homeless?
A. Treat patients according to their ability to pay. B. The homeless patient is only treated in the emergency roomâ€"they should not be admitted unless life threatening condition; never admit them to the unit. C. Treat the homeless patient as you would treat any patient. D. Some parts of the Patient Bill of Rights do not apply to the homeless.
A patient is being treated in hospital for St. Louis encephalitis. When planning this patient's care, the nurse should be aware that this specific variant of encephalitis creates a potential for what nursing diagnosis?
A) Excess fluid volume B) Risk for deficient fluid volume C) Imbalanced nutrition: less than body requirements D) Risk for unstable blood glucose
The nurse is teaching a client who has sickle cell disease and was admitted for splenomegaly and abdominal pain. Which instruction does the nurse include in the client's discharge teaching?
a. "Avoid drinking large amounts of fluids." b. "Eat six small meals daily instead of large meals." c. "Engage in aerobic exercise 3 days a week." d. "Receive a yearly influenza vaccination."