A woman consults the nurse practitioner because she has not been able to have an orgasm, despite having been sexually active for 2 years. She is very frustrated and feels it is harming the relationship with her spouse
Which nursing diagnosis would be most appropriate for this presentation? a. Sexual dysfunction
b. Relational impairment
c. Ineffective sexuality pattern
d. Impaired sexual arousal
A
Sexual dysfunction is the most appropriate nursing diagnosis for a patient who is experiencing a problem affecting one or more phases of arousal. This is the primary problem reported by this patient. Relational impairment and Ineffective sexuality pattern, since they are due to sexual dysfunction, are secondary to the anorgasmia. The patient has not indicated she does not become aroused, just that she cannot achieve orgasm.
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What should the nurse's first action be when postpartum hemorrhage from uterine atony is suspected?
a. Teach the patient how to massage the abdomen and then get help. b. Start IV fluids to prevent hypovolemia and then notify the registered nurse. c. Begin massaging the fundus while another person notifies the physician. d. Ask the patient to void and reassess fundal tone and location.
Hypoglycemia in a newborn can lead to:
a. tachycardia. b. hypocarbia. c. hyperthermia. d. brain damage.
Which of the following would be considered as being an independent nursing intervention?
a. Teaching a postoperative client how to cough and deep breathe b. Maintaining an intravenous infusion of normal saline at 100 mL per hour c. Monitoring the client's blood sugar before every meal d. Irrigating an open wound and applying medicated ointment
The student nurse is preparing to perform an assessment on a 5-year-old Arab American child with a possible case of otitis media. The experienced nurse accompanies the student nurse
Which of the following statements by the student nurse indicate that further education is required? Standard Text: Select all that apply. 1. "It would be best to have the child sit in his mom's lap if we have to give him a shot.". 2. "Before I listen to the child's lungs, I can let him play with my stethoscope.". 3. "I will be able to see the tympanic membrane more clearly if I pull the tragus down and back.". 4. "It really doesn't matter what his culture is; mommies always make the decisions about children's health care issues.". 5. "I'm going to have to be firm but friendly with my approach to the child.".