A vaginal mass is found in a client experiencing vaginal discharge, painless vaginal bleeding, and pruritus. The client's statement that would alert the nurse to the possible etiology is
a. "I've been sexually active since I was 17-years-old."
b. "I've been unable to conceive."
c. "My mother took DES when she was pregnant with me."
d. "The IUD is my form of birth control."
C
A risk factor for vaginal cancer is maternal ingestion of diethylstilbestrol (DES), which is asso-ciated with clear-cell vaginal cancer.
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A graduate nurse learns about the provisions of the Health Insurance Portability and Accounta-bility Act (HIPAA), which include which of the following?
a. Requires employers to offer health care insurance b. Regulates the amount employers can charge for insurance c. Mandates that employers provide specific benefits d. Helps maintain coverage when a person changes jobs
A patient is taking acetaminophen (Tylenol). Which precaution is most important for the nurse to teach the patient?
a. "Avoid alcoholic beverages while taking this drug." b. "Avoid coffee and other caffeinated drinks while taking this drug." c. "If any decrease in vision occurs, stop the drug and notify your prescriber imme-diately." d. "Do not drive or operate dangerous machinery until you know how this drug af-fects you."
A patient was widowed 8 months ago. The patient has never cried and speaks of the spouse as if they were still together. The prominent defense mechanism exhibited by the patient is:
a. denial. b. projection. c. introjection. d. sublimation.
An obese client is being seen at the healthcare facility. To reduce her risk for various
chronic diseases, she is instructed to go on a diet to reduce her weight. Which criteria should the nurse inform the client to look for in the diet plan before the client starts a diet? A) It eliminates the use of all forms of fat and oils from the diet. B) It promotes not more than 1 to 2 lb of weight loss in a week's time. C) It encourages the use of pills and potions to meet nutritional requirements. D) It restricts any form of snacking between the meals.