The nurse asks a young adult client if she is sexually active. The client asks why the nurse needs to know. What is the nurse's best response?
a. "I just need to make sure that the informa-tion you are providing is reliable."
b. "I have to fill in answers to all of the questions on the health history form."
c. "If you are sexually active, we should talk about ways to prevent getting HIV."
d. "I will have to notify your partner if you have a sexually transmitted disease."
C
The nurse should assess whether the client is sexually active to determine whether it is appropri-ate to teach about safer sex practices. The nurse would not notify the client's sexual partners if a sexually transmitted disease were diagnosed.
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A nurse in the high-risk obstetrical unit monitors a student nurse preparing to give a patient a dose of betamethasone (Celestone). Which action by the student warrants intervention by the nurse?
A. Assesses the patient's lung sounds prior to administration B. Draws up 12 mg in a syringe with a 20-gauge needle C. Gently shakes the medication before drawing it up D. Prepares to administer medication in the deltoid muscle
A female patient is taking a large dose of nicotinic acid to treat hyperlipidemia. She calls the clinic and reports that her face, neck, and chest are red. Which of the following would be an appropriate response by the nurse?
A) "This is an expected adverse effect of the drug. It should subside in time." B) "Don't worry about it. I'm sure it's not really noticeable." C) "You need to stop taking the medication immediately. I will notify the physician." D) "You need to decide if you want to take this medication. The flushing will be present as long as you take the medication."
The client is diabetic and is estimated to need 3,200 kilocalories per day. How many grams of carbohydrates does this client need to ingest each day? Round answer to a whole number
What will be an ideal response?
An elderly terminally ill client is experiencing apnea periods and within an hour, dies. No efforts were provided to resuscitate this client. Which of the following would describe this client event?
1. Do-not-resuscitate 2. Coma depasse 3. Brain death 4. Passive euthanasia 5. Assisted suicide 6. Active euthanasia