A postmenopausal client asks why she has been scheduled for a bone density test even though she has no history of fractures. What is the nurse's best response?
1. "This is a very quick test, and it won't cause you any pain."
2. "It is important to find out if you are losing bone density because you do not produce as much estrogen as you did previously. This test will see if you are developing osteoporosis."
3. "Because you are not ovulating, your bones will start breaking."
4. "Everyone should have a bone density test."
Correct Answer: 2
Rationale 1: This does not answer the client's question.
Rationale 2: The nurse explains the connection between estrogen and bone density as well as the rationale for the test.
Rationale 3: The lack of ovulation does not cause bones to break.
Rationale 4: This is a global and opinionated statement and does not address the client's question.
Global Rationale: The nurse explains the connection between estrogen and bone density as well as the rationale for the test. The speed of the test is not relevant to the question. The lack of ovulation does not cause bones to break. "Everyone should have a bone density test" is an opinion and does not address the question.
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A woman is in labor. The fetus is in vertex position. When the client's membranes rupture, the nurse sees that the amniotic fluid is meconium-stained. The nurse should immediately:
1. Change the client's position in bed. 2. Notify the physician that birth is imminent. 3. Administer oxygen at 2 liters per minute. 4. Begin continuous fetal heart rate monitoring.
Which of the following statements from a patient's history is it most important to investigate further?
a. "I have an allergy to peanuts." b. "I have lost 30 pounds over the last 4 months." c. "I don't like many vegetables so I take multivitamins." d. "I drink 2 cups of coffee each morning."
Reasoned thought is characterized by the lack of:
a. reflection. b. emotion. c. parity. d. contrast.
The nurse is providing education to a 21-year-old construction worker who is being treated for severe acne. The prescriber orders isotretinoin (Accutane) as treatment for the acne. Which in-struction is most pertinent for the nurse to provide?
a. "Wear protective clothing when in the sun." b. "Use abrasive soap to aid in desquamation." c. "Discontinue use of the drug if flaking of the skin occurs." d. "Wear sunglasses as protection against photophobia."