The young woman comes to the free clinic for the complaint of stomach cramps. During the examination, the nurse recommends that she be tested for chlamydia
The woman says "I don't need any test...I don't have any symptoms for a sexual infection...I just came for my stomach." Which response is most informative?
a.
"Well, if you get more symptoms come back for testing."
b.
"The doctor may have to order medicine for syphilis and chlamydia. You probably have that too. You need to be tested today!"
c.
"Testing is not mandatory...I probably wouldn't bother either since you have no symptoms."
d.
"That stomachache may be part of a chlamydia infection. Many women do not have a discharge, but are carriers."
ANS: D
Chlamydia frequently displays no signs or symptoms in women. The Centers for Disease Control and Prevention (CDC) recommends an annual screening for all women over 25 who are at risk for STDs.
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A young adult male client comes to the clinic with complaints of not being able to study effectively. The nurse plans the care based on a nursing diagnosis of Fatigue. Which client statement validates this nursing diagnosis?
A) "I sleep for 9 hours a night." B) "I have hay fever." C) "I drink one beer when I go out with friends." D) "I work out in the gym two days a week."
Which precaution is most important to teach a patient who is receiving intravenous (IV) drug therapy?
a. "Turn on your call light if the IV machine starts to beep for any reason." b. "Do not use the arm that has the IV running in it for any reason whatsoever." c. "Call me immediately if you start to feel any pain or burning in the arm with the IV." d. "If you think the IV is running too slowly, just push the up-arrow button on the machine once or twice."
Which of the following demonstrates a nurse's understanding that good communication is key in providing culturally congruent and spiritually sensitive care?
a. Determine the patient's understanding of the nurse's written and spoken language. b. Consider a family member to be the best interpreter when the language is different. c. Assess patient's literacy level and level of understanding of health information. d. a and c. e. All of the above.
A client in renal failure who has had hourly urinary output of 15 mL/hour and then has an increase to 60 mL/hour would most probably need:
a. a fluid restriction. b. electrolyte replacement. c. an increase in protein in the diet. d. a sodium restriction of 2-3 grams daily.