The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted infection (STI)
She says, "I don't understand. My boyfriend always wears a condom." Which understanding by the nurse should guide teaching in this situation?
a. Condoms are a reliable source of protection against STIs.
b. It is a myth that condoms provide any protection against STIs.
c. Condoms can decrease the risk of STIs, but they are not foolproof.
d. Condoms must be used with a spermicide to guarantee protection against STIs.
ANS: C
Condoms can greatly decrease the risk of STIs, but condoms can have tiny channels in the rubber (or other elastic material) that can allow microorganisms to pass through. Condoms can break, slip off, or be applied improperly. Petroleum-based lubricants may weaken latex condoms. A. Condoms do not provide a barrier for any area other than the penis and most of the vagina (or anus). B. Some STIs may still be transmitted by contact of surrounding uncovered tissues. D. Spermicide helps protect against pregnancy.
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A pregnant client's mother is worried that her daughter is not "big enough" at 20 weeks of gestation. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus
What should the nurse report to the client and her mother? a. "The body of the uterus is at the belly button level, just where it should be at this time." b. "You're right. We'll inform the practitioner immediately." c. "When you come for next month's appointment, we'll check you again to make sure that the baby is growing." d. "Lightening has occurred, so the fundal height is lower than expected."
When the nurse understands that clozapine preferentially blocks dopamine receptors in the limbic
system rather than in the basal ganglia, the nurse will plan to assess the client for a. seizures. b. marked motor disturbances. c. strong suicidal tendencies. d. greatly increased appetite.
Care that crosses cultural boundaries or combines the elements of more than one culture is known as ____________________ nursing
Fill in the blank with correct word.
A 24-year-old female says she wants to begin using oral contraceptives. Which information from the nursing assessment is most important to report to the health care provider?
a. The patient quit smoking 5 months previously. b. The patient's blood pressure is 154/86 mm Hg. c. The patient has not been vaccinated for rubella. d. The patient has chronic iron-deficiency anemia.