The client using a diaphragm for contraception should be advised to

a. keep the device in place for 1 hour after intercourse
b. apply a petroleum-based product to assist with insertion
c. have the device refitted if there is a substantial weight gain
d. clean the device with water and pat with cornstarch to aid drying


C
Diaphragms should fit snugly and, if there is a substantial weight gain, it could affect the fit and consequently the effectiveness of the diaphragm. The diaphragm should be in place for 6 hours after intercourse. When vaginal lubricants are used for intercourse, they should be water-based. Petroleum-based products increase the risk of disintegration of the latex of the diaphragm. The diaphragm should be washed with a mild soap and water and allowed to air dry.

Nursing

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An investigation into reports of substandard care on the subacute geriatric unit of a hospital has been undertaken. Which of the following events are representative of malpractice on the part of the nursing staff? Select all that apply

A) A client with a documented history of seizures was left with his bed raised and with bedrails not in place, resulting in a fall and head injury. B) A client was sent for a colonoscopy, after which it was learned that the client had never given written consent for the procedure. C) A client with a diagnosis of vascular dementia was found wandering in the hall outside the unit. D) An immobile client was not turned over the course of a night shift and developed a pressure ulcer on her coccyx. E) A client admitted with a diagnosis of pneumonia contracted an antibiotic-resistant organism during her stay.

Nursing

You care for a 10-year-old boy with growth hormone deficiency. Which therapy would you anticipate will be prescribed for him?

A) Short-term aldosterone provocation B) Intramuscular injections of growth hormone C) Oral administration of somatotropin D) Long-term blocking of beta cells

Nursing

A patient with an eating disorder states, "I heard people laughing behind me in the check-out line at the department store. I bet they thought it was funny that I gained a pound in the last few days."

The patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses? a. Magnification b. Personalization c. Overgeneralization d. Dichotomous thinking

Nursing

Virtue ethics is one of the oldest ethical theories, dating back to the ancient Greek philosophers, Plato and Aristotle. These ethics can best be described as

1. Caring is the most important virtue of nurses. 2. The disempowering concept; to identify the essence of nursing. 3. Interest in the concept of the good, including benevolence, compassion, trustworthiness, and integrity. 4. Sensitivity to the needs of others and assumption of responsibility of women to care for people.

Nursing