A 23-year-old unmarried female is seen in the provider's office for a pelvic exam and refill prescription for oral contraceptives. A priority teaching point for this client includes which of the following?
1. Condom use
2. Importance of having pelvic exams regularly
3. Need for regular STI screening
4. Avoiding alcohol when taking contraceptives
1
Rationale: The priority for this client would be discussing sexually transmitted diseases and their prevention through the use of barrier techniques such as condoms. The client evidently knows about the need for regular pelvic exams, since she came to the office for one today. The client does not require routine STI screening, and alcohol use does not impact contraceptive effectiveness.
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The nurse is caring for a young child who fell and hit his or her head and is brought to the emergency room with projectile vomiting. How does the nurse interpret this behavior?
A) The child is in intense pain B) The child probably ate too much for dinner C) The child likely has a full bladder D) The child has increased intracranial pressure
The nurse is obtaining information about a client's past medical history. Which of the following sources would provide the nurse with this data?
1. Medication list 2. Immunization records 3. Average amount of hours of sleep each night 4. Marital status
Which system, when developed, is expected to contain client outcomes, indicators, and measurement activities at five to six levels of abstraction?
a. Nursing Intervention Classification (NIC) b. Nursing Outcome Classification (NOC) c. Home Healthcare Classification (HHC) d. Omaha Problem Classification Scheme (OPCS)
In which of the following answers is the hospital in compliance with the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)?
a. The emergency department staff asks a patient to stay in the waiting room until the patients with insurance are treated. b. The emergency registration personnel explain to a patient that they must have proper identification to receive treatment. c. A patient with chest pain is triaged directly to a room for evaluation and registration information is obtained after the patient is stabilized. d. The emergency department physician discharges and instructs a patient who is actively suicidal to go the neighbor facility that has psychiatric services.