The nurse is preparing a woman for a pelvic examination. Which action should the nurse take prior to the examination?

a. Cleanse the perineum with an iodine preparation.
b. Have the patient void.
c. Assist the patient into a knee–chest position.
d. Administer a suppository.


ANS: B
Instruct the patient to empty her bladder before the examination, change into a gown, and remove her underclothing. Instruct the patient to lie either on her back with her arms resting down at her sides (to aid relaxation of abdominal muscles) or in a side-lying position, according to the health-care provider's preference. Iodine preparation and a suppository are not necessary.

Nursing

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A patient in the ICU has suffered severe head trauma as the result of a diving accident. Damage was sustained only in the frontal lobes of the brain. Which function is most likely to be impaired with this injury?

A) Breathing B) Maintain steady posture when standing C) Sneezing D) Writing with a pen

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A patient is admitted to the ICU with a C5—C6 subluxation fracture. He is able to move his legs better than he can move his arms. Caring for the patient would include which of the following interventions?

a. Keeping the room cool, dark, and quiet b. Administering intravenous methylprednisolone for the first 24 hours after the injury c. Elevating the head of the bed 45 degrees d. Resuscitating low blood pressure by only using intravenous fluid

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What would be the response if a person's nephrons were not able to filter normally due to scarring of the proximal convoluted tubule leading to inhibition of reabsorption?

A. Increased urine output, fluid volume deficit B. Decreased urine output, fluid volume deficit C. Increased urine output, fluid volume overload D. Decreased urine output, fluid volume overload

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Which developmental theorist created the psychosocial theory of development?

A) Erikson B) Freud C) Piaget D) Maslow

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