A 45-year-old woman tells the nurse she is distressed by the presence of dark, coarse hair on her face that has recently developed. What is the nurse's most appropriate response to this patient?
a. "This is simple vellus hair and it will decrease in amount over time."
b. "Some women in your cultural group normally have dark hair on their faces."
c. "This is unusual; female hair distribution should be limited to arms, legs, and pubis."
d. "Coarse dark hair could result from hormonal changes such as from menopause."
ANS: D
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The nurse provides prenatal teaching to the client who is newly diagnosed as pregnant, and determines the client understood the instructions when she says:
1. "I will take my prenatal vitamins every day and avoid foods high in mercury, like tuna." 2. "I will keep my cat's litter box very clean to avoid infection." 3. "I will not drink more than 1-2 alcoholic beverages per week." 4. "I will adjust my seat belt when driving so it is at the level of my waist."
A patient has a nephrostomy tube that has been inserted because of an obstruction in the ureter. What special precautions in the care of the nephrostomy tube should the nurse implement?
a. Clamping every 2 hours to allow expan-sion of the kidney pelvis b. Instilling no more than 50 mL of sterile water if sterile irrigations are ordered c. Being certain the tube is connected, not kinked, or not clamped to ensure that it continually drains d. Leaving the nephrostomy site open to air
A nurse is preparing a presentation for a local community group about hepatitis. Which of the following would the nurse include?
A) Hepatitis B is transmitted primarily by the oral–fecal route. B) Hepatitis A is frequently spread by sexual contact. C) Hepatitis C increases a person's risk for liver cancer. D) Infection with hepatitis G is similar to hepatitis A.
A client with portal hypertension has bluish veins just under the skin of the abdomen that radiate out across the umbilicus. Which pathophysiological factors does the nurse recognize causes this condition? Select all that apply.
A) Elevated bilirubin levels B) Impaired clearance of ammonia C) Increased fluid in the abdomen D) Impaired metabolism of estrogens E) Increased abdominal pressure