The clinic nurse obtains a history from women who wish to use a cervical cap as their method of contraception. The nurse assesses for relative or absolute contraindications to this contraceptive device, including which of the following? (Select all that a
A.
Patient is a commercial sex worker.
B.
Patient has history of an abnormal Pap test.
C.
Patient has human papillomavirus infection.
D.
Patient has silicone allergy.
E.
Patient is nulliparous.
ANS: A, B, C, D
Certain women are not suitable candidates for the cervical cap. Patients who have a history of toxic shock syndrome, pelvic inflammatory disease, cervicitis, papillomavirus infection, a previous abnormal Pap test or cervical cancer, undiagnosed vaginal bleeding, or a silicone allergy should choose another contraceptive method. In addition, women who have an abnormally short or long cervix may not be able to use a cervical cap satisfactorily. Because the cervical cap can cause irritation, it is not advisable for women who are at high risk for HIV, such as commercial sex workers. Parity has no bearing on suitability for using this device.
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A geriatric clinical nurse educator is teaching the other members of the health care team about the incidence, prevalence, and course of depression among older adults
Which of the following statements is most likely to appear in the physician's teaching? A) "Even though suicide rates are lower among older adults than younger adults, depression needs to be diagnosed and treated early." B) "Though they are certainly not synonymous, depression can be an indicator of dementia." C) "Many older adults lack the symptoms of sleep disturbances and lack of concentration that suggest depression in younger adults." D) "Bronchodilators and antiplatelet medications have been correlated with depression in the elderly."
A patient who has been prescribed exenatide (Byetta) reports a weight loss of 11 lb in the last month. What is the nurse's best action?
a. Hold the next dose and contact the prescriber immediately. b. Ask the patient to keep a daily diary of all foods eaten for the next month. c. Reassure the patient that this is an expected effect of the drug and no action is needed. d. Instruct the patient to skip one dose of the drug per day and increase his or her daily calories.
A father calls emergency medical services (EMS) for his 1-year-old infant who was vomiting and then experienced a series of seizures. Upon admission to the hospital, the infant was listless and irritable, had bradycardia, and had periods of apnea
The infant has now lapsed into a coma. Which of the following conditions will the nurse and the health care team members suspect and most want to rule out? a. spinal meningitis c. fever-induced seizures b. encephalitis d. shaken baby syndrome (SBS)
Within a culture, the world becomes predictable and coherent for its inhabitants. This predictability has been defined as:
A) habituation. B) normalization. C) stereotypical. D) desensitization.