The adolescent client reports to the clinic nurse that her period is late, but that her home pregnancy test is negative. What should the nurse explain that these findings most likely indicate?
1. "This means you are not pregnant."
2. "You might be pregnant, but it might be too early for your home test to be accurate."
3. "We don't trust home tests. Come to the clinic for a blood test."
4. "Most people don't use the tests correctly. Did you read the instructions?"
2
Explanation: 2. This is a true statement. Most home pregnancy tests have low false-positive rates, but the false-negative rate is slightly higher. Repeating the test in a week is recommended.
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Instructions on breast self-examination should include encouraging the woman to perform the exam
a. once a month, 1 week before menses. b. twice a month, 1 week before and following menses. c. once a month, 8 days following menses. d. once a week, except during menses.
A nurse is caring for a patient who has been taking an antiepileptic drug for several weeks. The nurse asks the patient if the therapy is effective. The patient reports little change in seizure fre-quency. What will the nurse do?
a. Ask the patient to complete a seizure fre-quency chart for the past few weeks. b. Contact the provider to request an order for serum drug levels. c. Reinforce the need to take the medications as prescribed. d. Request an order to increase the dose of the antiepileptic drug.
Which of the following constructs would be inappropriate to measure with a visual analogue scale? (Select all that apply.)
a. Dichotomous variables b. Blood pressure c. Visual acuity d. Anxiety e. Playfulness
An adolescent with cystic fibrosis is intubated with an endotracheal tube and has been told by the parents that survival may not be likely. The most appropriate nursing diagnosis is which of the following?
1. Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity 2. Anxiety related to leaving chores undone at home 3. Potential for Fear of Future Pain related to medical procedures 4. Powerlessness related to inability to speak to or communicate with friends