The nurse is helping a young woman prepare for her first pelvic examination. Which of the following actions by the nurse is best?

a. Administer a mild sedative before the examination.
b. Teach the patient a relaxation exercise.
c. Distract the patient by explaining the reproductive disorders she is being tested for.
d. Have the patient close her eyes and bear down.


ANS: B
Some women may be fearful, embarrassed, or tense and may find the procedure uncomfortable. Active relaxation strategies may decrease discomfort. Sedatives, distraction, and having the patient turn her head all interfere with teaching. Talking about disorders she is being tested for may increase anxiety.

Nursing

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The nurse is listening to the fetal heart tones of a patient at 37 weeks' gestation while the patient is in a supine position. The patient states, "I'm getting lightheaded and dizzy." The best action by the nurse is to:

1. Assist the patient to sit up. 2. Remind the patient that she needs to lie still to hear the baby. 3. Help the patient turn onto her side. 4. Check the patient's blood pressure.

Nursing

During the second visit, the nurse noticed that although the elderly gentleman had not been able to clean up the apartment, he had been able to clean up the kitchen

Why would the nurse praise him for his cleaning efforts when only one room had changed? A. It demonstrated that the homebound man was trying to be compliant with the nurse's suggestion. B. It made the apartment so much nicer for both the client and the nurse. C. It was a successful short-term achievement toward the long-term goal of environmental safety. D. The elderly gentleman obviously expected considerable praise for doing such a female task.

Nursing

When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. This document is called a(n):

a. deposition. b. appeal. c. complaint. d. answer.

Nursing

Which of the following best describes the first efforts at improving community health?

a. Environmental planning of water and sewer systems b. Mass community immunizations c. Passing laws requiring quarantine of infected persons d. Segregation of ships from harbors until the harbormaster checked the sailors

Nursing