During a gynecological exam, it is noted that a client's os is in the shape of a slit. The nurse realizes that this shape means that the client has:
1. borne children.
2. not started menses.
3. not borne any children.
4. gone through menopause.
1
The shape of the os in women who have not borne children is circular. In women who have borne children, the os is slit-like. The shape of the cervical os does not change if a client has not started menses or has gone through menopause.
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A patient is seeking treatment for her fear of cats; even a picture or a thought of a cat causes her to sweat, tremble, become very apprehensive and uncomfortable, and become sick to her stomach
The nurse has established the nursing diagnosis as Anxiety related to exposure to phobic object (cats). A realistic indicator for the outcome Anxiety self-control would be that within 10 days, the patient will: a. avoid the feared object whenever possible. b. face the feared object without supportive assistance. c. state that the fear of cats is unrealistic and inappropriate. d. report a decrease in distress when thinking about cats.
A psychiatric aide asks, "Can you give me some examples of how we provide structure for patients?" The nurse should offer which suggestions? Select all that apply
a. Set limits on destructive behavior. b. Direct a patient to go to a quiet place. c. Sit with a withdrawn, isolated patient. d. Distract a patient who is hallucinating. e. Help a patient contemplate needed change.
The nurse is preparing to start an IV in the hand of a client who has very small veins. Which actions would be useful in dilating the veins? Select all that apply
1. Position the hand at heart level. 2. Stroke the vein. 3. Have the client clench and unclench the fist. 4. Slap the back of the client's hand. 5. Massage the vein.
A nurse is preparing a client for discharge. He has had diabetes for several years with widely fluctuating blood sugars. During his hospitalization, his right foot was amputated
As the nurse anticipates the client's and family's needs once he is home, she may ask which of the following questions? A) How are you going to manage? B) What help do you have at home? C) Will you and the family be able to provide all the care needed? D) How will you change your diabetic care now that your foot is amputated?