A nurse is performing a pelvic exam on a woman in her mid-twenties. The nurse asks the woman what type of birth control she uses and the woman laughs, saying that she doesn't need birth control because she is a lesbian. How should the nurse respond?
A. "That's correct, you do not need contraception."
B. "You should consider contraception anyway, just in case you ever decide to be intimate with a man."
C. "You still need to use a barrier contraceptive because of the risk of sexually transmitted infections."
D. "Hormonal contraceptives might be a good option for you."
ANS: C
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A patient is receiving IV heparin every 6 hours. An activated partial thromboplastin time (aPTT) is drawn 1 hour before the 08:00 dose. The PTT is 92 seconds. What is the most appropriate action by the nurse?
A) Give the next two doses at the same time. B) Give the dose and chart the patient response. C) Check the patient's vital signs and give the dose. D) Hold the dose and call the aPTT result to the physician's attention.
The patient is receiving a histamine-blocking agent to prevent stress ulcers. What is the most important adverse effect that the nurse expects?
A) Positive gastrointestinal guaiac B) Reduced chemical barrier immunity C) Absence of gastric discomfort D) Decrease in gastric pH
A client is to receive 50 mg of a medication. The medication comes in 80 mg per milliliter. How many milliliters would the RN administer?
A) 0.163 B) 0.63 C) 1.63 D) 16.3
The nurse is informing a patient about an upcoming diagnostic procedure. What statement by the nurse would demonstrate effective communication?
a. "Mr. Brown, your leg is to be x-rayed in the x-ray department in an hour." b. "X-ray is coming to get you for an AP and lateral of your chest." c. "You can't eat anything after supper because of some lab work." d. "Mrs. Smith, the OR has notified us that they're running behind."