Following a recent history of dyspareunia and lower abdominal pain, a patient has received a diagnosis of pelvic inflammatory disease (PID)
When providing health education related to self-care, the nurse should address which of the following topics? Select all that apply.
A) Use of condoms to prevent infecting others
B) Appropriate use of antibiotics
C) Taking measures to prevent pregnancy
D) The need for a Pap smear every 3 months
E) The importance of weight loss in preventing symptoms
Ans: A, B
Feedback:
Patients with PID need to take action to avoid infecting others. Antibiotics are frequently required. Pregnancy does not necessarily need to be avoided, but there is a heightened risk of ectopic pregnancy. Weight loss does not directly alleviate symptoms. Regular follow-up is necessary, but Pap smears do not need to be performed every 3 months.
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The client receives tamoxifen (Nolvadex) for treatment of breast cancer. She asks the nurse why the medicine works. What is the best response by the nurse?
1. "Tamoxifen (Nolvadex) works by inhibiting the metabolism of breast cancer cells.". 2. "Tamoxifen (Nolvadex) works by blocking estrogen receptors on breast tissue.". 3. "Tamoxifen (Nolvadex) works by inhibiting the cellular mitosis of breast cancer.". 4. "Tamoxifen (Nolvadex) works by binding to the DNA of breast cancer cells.".
A 50-year-old man who has recently been diagnosed with amyotrophic lateral sclerosis (ALS) has announced to the nurse his intention to commit suicide in order to prevent future suffering
Which of the following facts should underlie the nurse's response to this client? A) The nurse is required to document the client's wishes and begin to facilitate an assisted suicide. B) The nurse is obliged to protect the client from self-harm. C) The nurse must refer the client to a physician who is authorized to assist the man with a suicide. D) The nurse is ethically obliged to inform law enforcement.
The Superfund Amendment and Reauthorization Act (SARA) requires that:
a. There are stricter rules to determine Superfund sites b. Written disaster plans be shared with key resources in the community c. Disaster plans will be written by each industry d. OSHA determines how effective a disaster plan is
In the emergency department, a patient's vital signs are: blood pressure (BP), 66/40 mm Hg; pulse (P), 140 beats per minute (bpm); and respirations (R), 8 breaths per minute and shallow. The patient overdosed on illegally obtained hydromorphone (Dilaudid)
Select the priority outcome. a. Within 8 hours, vital signs will stabilize as evidenced by BP greater than 90/60 mm Hg, P less than 100 bpm, and respirations at or above 12 breaths per minute. b. The patient will be able to describe a plan for home care and achieve a drug-free state before being released from the emergency department. c. The patient will attend daily meetings of Narcotics Anonymous within 1 week of beginning treatment. d. The patient will identify two community resources for the treatment of substance abuse by discharge.