When performing a client's well woman examination, the nurse expects what findings?
a. The inner surface of the vestibule is deep pink and moist with a smooth texture.
b. The inguinal skin appears wrinkled and moist with sparse hair distribution.
c. The labia minora is deeply pigmented, and the tissue is ragged and asymmetrical.
d. Pubic hair is distributed evenly over the mons and shaped as a triangle with the apex over the mons.
ANS: A
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A patient with multiple injuries from a motor vehicle accident was recently moved into a semiprivate room in an acute rehabilitative unit (ARU) away from the main campus of the hospital
Three days after the move, the patient developed a cardiac complication and was in need of intravenous medications and cardiac monitoring. In order for the patient to receive the care that he needs, the nurse will A) move the patient into a private room in the ARU and begin the intravenous medications and cardiac monitoring. B) ask the family to provide a private nurse to administer the IV medications and monitor cardiac function. C) prepare for the patient to be transferred into the acute care hospital. D) start intravenous fluids and connect the patient to the cardiac monitor in the patient's room.
The nursing instructor is discussing angina pectoris with the junior nursing class. What would the instructor teach the students about the care of a client who is having an angina attack?
A) Have the patient sit down and put the head between the knees B) Have the patient lay flat on his or her back C) Have the patient stand still and bend over at the waist D) Place the patient on bed rest in a semi-Fowler's position
When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention would most likely be recommended?
a. Increasing the intake of red meat and simple carbohydrates b. Reducing the intake of diuretic foods such as peaches and asparagus c. Temporarily substituting physical activity for a sedentary lifestyle d. Using a heating pad on the abdomen to relieve cramping
Which interventions should the nurse plan to help reduce a patient's risk of developing ventilator-associated pneumonia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Brush the patient's teeth every 4 hours. 2. Regularly drain any accumulated water from ventilator tubing. 3. Place a nasogastric tube to keep the stomach decompressed. 4. Keep the head of the bed at 30 to 45 degrees. 5. Wash the hands before and after patient contact.