A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up?

a. "I have lost 12 pounds on this diet."
b. "I use the diaphragm to prevent pregnancy."
c. "I use a contraceptive cream with my diaphragm."
d. "I know this provides a barrier over the cervical opening."


ANS: A
The woman needs to be refitted after a significant change in weight (10-pound gain or loss) or pregnancy. The diaphragm is a round, rubber dome that has a flexible spring around the edge. It is used with a contraceptive cream or jelly and is inserted in the vagina so it provides a contraceptive barrier over the cervical opening.

Nursing

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The nurse is caring for a male patient who states, "I have been smoking two packs of cigarettes a day for 20 years and now my nurse practitioner wants me to take vitamins. Do you think I need to take vitamins?"

What is the most appropriate response by the nurse? a. "Smoking is bad for your health. I believe if you stop smoking you would certainly be better off and not have to take vitamins." b. "Smokers use vitamin C faster than do nonsmokers, and is linked to iron deficiency. You can either eat more foods containing vitamin C and iron or take dietary supplements." c. "It is probably a good idea. With your history of tobacco use, I'm sure you are lacking in vitamins and nutrients." d. "I really cannot answer this question. You will need to speak with your nurse practitioner to find out more about this."

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The nurse plans to teach a class about Alzheimer's disease to a caregiver's support group. What will the best plan by the nurse include?

1. Depression and aggressive behavior are common with the disease. 2. Alzheimer's disease accounts for about 50% of all dementias. 3. Glutamergic inhibitors are the most common class of drugs for treating Alzheimer's disease. 4. Chronic inflammation of the brain may be a cause of the disease. 5. Memory difficulties are an early symptom of the disease.

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A nurse is providing care for a patient returning from an esophagogastroduodenoscopy. Which of the following observations would be most concerning to the nurse?

1. Respirations are 16 at rest. 2. Patient complains of shoulder pain that increases with movement. 3. Patient requests antacid for symptoms of heartburn. 4. Nurse discovers the patient eating lunch.

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Which of the following statements best captures the experience of relapse in high-mortality diseases?

a) Relapse is a low occurrence event. b) Patients respond better to relapses than they did to the original diagnosis. c) Relapse is often viewed as a bad sign and that the prognosis is worse. d) Patients use the same coping strategies and continue to experience just as much hope as at the time of the original diagnosis.

Nursing