For which patient assessment finding would an intrauterine device (IUD) be contraindicated?
A) Misshapen uterus
B) Multiple sexual partners
C) Diagnosis of hypertension
D) History of thromboembolic disease
A
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Use of an IUD may be contraindicated for a woman whose uterus is distorted in shape because the device might perforate the uterine wall. The device is not contraindicated for multiple sexual partners, hypertension, or history of thromboembolic disease. Infection is no longer a concern because the vaginal string no longer conducts fluid. The device does not impact hormone levels and will not influence blood pressure or blood flow.
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The husband of a patient on a care area is very angry and wants to talk with the nurse about the terrible care his wife is receiving. Which of the following communication techniques should the nurse use when interacting with this individual?
a. Arrange the setting so the husband is in front of the door with the nurse directly behind him. b. Start the conversation with a handshake or touch to his shoulder to express care and concern. c. The nurse should not turn his/her back on the man. d. Stay above his line of vision.
Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of his history of:
a. Severe asthma. b. A common valvular lesion. c. Severe hypertension. d. A previous coronary artery bypass graft (CABG).
While preparing a client for surgery, the nurse marks the arm that is to be amputated and participates in a "time out" procedure before the surgery begins. Which sentinel event should the "time out" procedure prevent?
A) Ineffective control of the client's pain B) The lack of healing of the stump C) The client being mildly over-sedated D) The removal of the wrong arm
Regardless of the feeding method chosen, a new mother should be instructed to burp her infant:
a. every 5 minutes b. after the bottle is finished or when both breasts have been emptied c. every 10 minutes d. halfway through the bottle or when changing breasts